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目的 :分析肾损伤的CT表现特征 ,探讨其诊断价值。方法 :对我院 1994年 5月～ 1997年 6月 2 0例肾损伤的CT表现进行了回顾性分析。 7例进行肾修补术 ,9例进行全肾切除术 ,4例进行非手术治疗 ,2 0例均全愈出院。结果 :肾损伤分为三型 :肾包膜下血肿型 ,肾挫伤型 ,混合型 ;肾挫伤分为轻度、重度、危重性三类 ,。结论 :CT对准确诊断肾损伤 ,评估损伤程度 ,有无合并多脏器损伤 ,对治疗方案的选择有重要意义。
Objective: To analyze the CT features of renal injury and to explore its diagnostic value. Methods: A retrospective analysis of 20 cases of renal injury in our hospital from May 1994 to June 1997 was performed. Nephrectomy was performed in 7 cases, total nephrectomy in 9 cases and non-surgical treatment in 4 cases. All 20 patients were completely discharged. Results: The renal injury was divided into three types: subcapsular hematoma, renal contusion, mixed type; renal contusion was divided into mild, severe and critically ill three categories. Conclusion: CT can accurately diagnose renal injury, assess the extent of injury, and whether or not multiple organ injury is combined, which is of great significance for the selection of treatment options.