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目的:总结148例闭合性肾损伤的诊断及治疗方法,提高闭合性肾损伤的诊治水平。方法:本组B超、静脉肾盂造影(IVU)、CT检查阳性发现率分别为73.6%、52.4%、100%。非手术治疗122例;手术探查16例,其中肾切除10例,肾修补6例;选择性肾动脉栓塞治疗10例。结果:死亡5例(死亡率3.4%);143例治愈(治愈率96.6%)。结论:B超检查便捷、无损伤,可作为闭合性肾损伤首选检查方法;CT检查是闭合性肾损伤准确诊断及选择治疗方法的重要依据,Ⅳ级以下闭合性肾损伤尽可能采用非手术治疗。
Objective: To summarize the diagnosis and treatment of 148 cases of closed renal injury and to improve the diagnosis and treatment of closed renal injury. Methods: The positive rates of ultrasonography, intravenous pyelography (IVU) and CT in this group were 73.6%, 52.4% and 100% respectively. Non-surgical treatment of 122 cases; surgical exploration of 16 cases, including 10 cases of nephrectomy, renal repair in 6 cases; selective renal artery embolization in 10 cases. Results: 5 died (3.4% mortality) and 143 cured (cure rate 96.6%). Conclusion: B-ultrasound is convenient and non-invasive and can be used as the first choice for the diagnosis of closed renal injury. CT examination is an important basis for accurate diagnosis and selection of treatment for closed renal injury. Non-surgical treatment of closed renal damage below grade Ⅳ is recommended .