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目的:研究诊断肾损伤的几种方法和治疗原则。方法:128例肾损伤诊断选择B超检查、双倍剂量和大剂量静脉造影显影和CT检查。结果:89例(69.5%)保守治疗,39例(30.5%)进行手术治疗,都痊愈出院。随访86例(67.2%),其中5年内为10例,6~10年为27例,11~15年为26例,16~20年为23例,复查肾功能和肾盂静脉造影显影良好,无临床高血压和其它并发症发生。结论:对肾损伤进行B超、尿路造影和影像学检查进行诊断,根据损伤程度分级并进行合理、有效的洽疗,总有效率达95%以上。
OBJECTIVE: To study several methods of diagnosis of kidney injury and treatment principles. Methods: 128 cases of renal damage were diagnosed by B-ultrasound, double-dose and high-dose venography and CT. Results: 89 cases (69.5%) conservative treatment, 39 cases (30.5%) were treated surgically and were discharged. Follow-up was performed in 86 cases (67.2%), including 10 cases in 5 years, 27 cases in 6 to 10 years, 26 cases in 11 to 15 years and 23 cases in 16 to 20 years. Renal function and renography of renal pelvis and vein were good , No clinical hypertension and other complications occurred. Conclusion: The diagnosis of renal injury by ultrasound B, urography and imaging examination, according to the degree of injury and reasonable and effective treatment, the total effective rate of 95%.