目的　总结外伤性肾损伤的诊治体会 ,提高肾损伤的诊治效果。方法　对 1996～ 2 0 0 2年收治的 12 6例严重肾损伤病例资料进行回顾分析。结果　 12 6例病人 ,伴有合并伤 76例 (6 3 1% )。保守治疗 10 1例 ,发生并发症 3例 ,治愈率 91 8% ;手术治疗 2 5例其中肾切除 12例 ,切肾率为 4 8% ;死亡 6例 ,病死率为4 79%。结论　准确进行伤情评估 ,严格掌握手术治疗和非手术治疗指征是处理外伤性肾损伤的关键。 Objective To summarize the diagnosis and treatment of traumatic renal injury and to improve the diagnosis and treatment of renal injury. Methods The data of 126 cases of severe renal injury admitted from 1996 to 2002 were retrospectively analyzed. Results A total of 126 patients (76.3%) had combined injury. Conservative treatment of 10 1 cases, complications occurred in 3 cases, the cure rate was 91 8%; surgical treatment of 25 cases, including 12 cases of nephrectomy, the rate of 42% of the cut; death in 6 cases, the mortality rate of 4 79%. Conclusion Accurate assessment of injuries, strict control of surgical indications and non-surgical treatment of traumatic renal injury is the key.