摘要
目的:探讨闭合性病理肾损伤患者的临床特征。方法:报告14例病理肾损伤的临床资料。14例病理肾损伤都有不同程度的外伤史,往往外伤较轻而肾损伤比较重,多表现为肾破裂或肾周血肿。经B超和CT检查多能在术前发现原发病灶,部分病例难以确诊。结果:手术治疗12例,疗效满意;保守治疗2例,病情均好转。结论:对肾损伤病例,B超和CT、MR等影像学手段是确定病理肾损伤存在的重要手段;治疗均以手术为主;对怀疑恶性肿瘤者可辅以术中快速冷冻切片。
Objective:To summarize the clinical characterics of 14 cases of closed pathological renal trauma and to increase the experience of closed pathological renal trauma.Methods:All the 14 cases of closed pathological renal trauma were retrospectively analysed.Results:All these cases have different degree injuries. 12cases underwent open operation. 2 were renal carcinoma, 3 were renal hamortoma, 3 were hydronephrosis , 1 was renal stone , 1 was xanthogranulomatous pyelonephritis(XGP), 1 was cyst of kidney, 1 was polycystic kidney.Conclusions:B-ultrasonography, CT and MRI were effective means for the diagnosis of closed pathogical renal trauma. Operation is an important treatment method. It is helpful to make a frozen section examination during operation if doubting carcinoma.
出处
《临床泌尿外科杂志》
2005年第7期399-400,共2页
Journal of Clinical Urology
关键词
肾损伤
病理性
诊断
治疗学
<Keyword>Pathological renal trauma
Diagnosis
Treatment
