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肾损伤CT诊断及分期 被引量:4

The CT Diagnosis and Staging of Renal Trauma
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摘要 目的 探讨肾损伤CT检查征象、分期依据及临床价值。方法 收集 2 6例肾损伤患者 ,采用螺旋CT平扫加增强扫描 ,根据征象进行分期。结果 单侧肾损伤 2 5例 ,双侧 1例。CT表现肾肿大 (12例 ) ,肾挫裂伤 (2 1例 ) ,肾碎裂 (3例 ) ,肾内血肿或出血 (2 4例 ) ,肾被膜下出血 (2 5例 ) ,肾周间隙及肾前后间隙出血 (12例 ) ,多组织及脏器损伤 (4例 )。CT分期为 :Ⅰ期 12例 ,Ⅱ期 6例 ,Ⅲ期 3例 ,Ⅳ期 5例。结论 CT平扫加增强扫描是肾损伤首选检查方法 。 Objective To evaluate CT findings and stage of renal trauma. Methods Twenty six cases with renal trauma were examinated by plain and contrast enhanced CT scans, and they were staged according to the CT features. Results The 25 cases of renal trauma were involved in the singel kidney and only one in both kidneys. CT showed kidney enlargement in 12 cases, laceration or tear of kidney in 21 cases, shatter kidney in 3 cases, intra renal hematoma in 25 cases, perinephric hemorrhage in 25 cases, in addition, combined multi organs injuries were showed in 4 cases. Based on the grading scale of renal trauma, of the 12 cases were grade Ⅰ,6 cases grade Ⅱ, 3 cases grade Ⅲ, 5 cases grade Ⅳ, none of the injuries grade Ⅴ. Conclusion CT is highly accurate in both the diagnoses and stage of the renal injuries, CT can provides informations in guiding either surgical management or conservative therapy for renal trauma lesions.
出处 《中国医学影像技术》 CSCD 2002年第3期252-253,共2页 Chinese Journal of Medical Imaging Technology
关键词 肾脏损伤 CT诊断 体层摄影术 Kidney Trauma Diagnosis Tomography,X ray computed
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