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目的：总结提高团合性肾损伤的诊治效果。方法：回顾分析58倒闭合性肾损伤各种诊断方法的特点，总结各种治疗方法的效果。结果：B超检查阳性率86．7％，CT及肾动脉造影阳性率100％，保守治疗49例（86．2％），肾动脉栓塞5例（8．6％），手术探查6例（10．3％），死亡3例，死于严重合并伤或休克。结论：CT为闭合性肾损伤首选的检查方法，B超简便易行，保守治疗效果良好，手术探查仅用于循环不稳定及有其它脏器损伤者，有条件者适当选用肾动脉栓塞术可降低手术探查率。
Objective: To summarize and improve the diagnosis and treatment of combined renal injury. Methods: The characteristics of various diagnostic methods for 58 obstructive renal injuries were retrospectively analyzed, and the effects of various treatment methods were summarized. Results: The positive rate of B ultrasound was 86.7%, the positive rate of CT and renal artery angiography was 100%, conservative treatment was 49 (86.2%), renal artery embolization was 5 (8.6%), surgical exploration was performed in 6 cases 10.3%), 3 died, died of severe combined injury or shock. Conclusion: CT is the preferred method of examination for closed renal injury, B-simple and easy, conservative treatment with good results, surgical exploration is only used for unstable circulation and other organ damage, the appropriate choice of renal artery embolization can be Reduce the rate of surgical exploration.