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目的:探讨和分析CT在肾外伤诊断中的临床应用价值,为临床相关病症的确诊提供借鉴和参考。方法:选择我院2013年1月至2014年1月收治的肾外伤病例60例,应用CT进行诊断,观察和分析CT表现。结果:60例肾外伤患者中肾包膜下血肿有8例,肾周血肿有21例,肾内血肿与肾挫伤有8例,肾撕裂有15例,肾断裂5例,粉碎肾3例。CT平扫与CT增强显示诊断正确率为100%。结论:CT扫描诊断能迅速发现并区分肾损伤与合并腹部脏器损伤,掌握肾外伤与四周脏器间的联系,明确肾外伤严重程度与血肿范围,诊断的敏感度和准确度达100%;CT坚持是非侵入性检查,不受腹部外伤后伤口绷带、留置导管以及腹腔脂肪和胃肠道气体的干扰,检查速度较快,在肾外伤临床诊断与治疗中具有显著的应用价值。
Objective: To explore and analyze the clinical value of CT in the diagnosis of renal trauma, and provide references for the diagnosis of clinically relevant diseases. Methods: Sixty cases of renal trauma were selected from January 2013 to January 2014 in our hospital. CT was used to diagnose and observe CT findings. Results: Of the 60 cases of renal trauma patients, there were 8 cases of subrenal hematoma, 21 cases of peritoneal hematoma, 8 cases of intrarenal hematoma and renal contusion, 15 cases of renal tear, 5 cases of renal rupture, 3 cases of smashed kidney . CT scan and CT showed that the diagnostic accuracy of 100%. Conclusions: CT scan can quickly detect and distinguish between kidney injury and abdominal organ injury, and grasp the relationship between renal trauma and the surrounding organs. The severity of renal injury and the range of hematoma are clear. The diagnostic sensitivity and accuracy are up to 100%. CT adhere to the non-invasive examination, not by the abdominal wound wound dressing, indwelling catheter and abdominal fat and gastrointestinal gas interference, the examination faster, in the clinical diagnosis and treatment of renal trauma has significant application value.