肾脏损伤占腹部损伤的 8%～ 10 % ,其中 70 %为钝性闭合伤。对损伤程度的准确判断有赖于临床表现、影像学检查及手术所见等综合评价。现将 1980～ 1999年70例肾损伤诊治体会报道如下。1　临床资料本组 70例 ,男 4 9例 ,女 2 1例 ,年龄 8～ 70岁 (平均 35岁 ) ,右肾 36例 ,左肾 Kidney damage accounts for 8% to 10% of abdominal injuries, of which 70% are blunt closed injuries. Accurate assessment of the degree of damage depends on clinical manifestations, imaging studies and surgical findings such as a comprehensive evaluation. Now from 1980 to 1999, 70 cases of renal injury diagnosis and treatment are reported as follows. 1 Clinical data The group of 70 patients, 49 males and 21 females, aged 8 to 70 years (mean 35 years), 36 cases of right kidney, left kidney