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目的探讨闭合性肾损伤的诊断和治疗方法。方法回顾分析 62例闭合性肾损伤的临床资料。结果血尿 60例(96.8% )。静脉尿路造影术 (IVU)检出率为 71.0 % ,B超检出率为 85 .4% ,CT检出率为 10 0 %。保守治愈 5 2例 ,手术治愈 7例 ,选择性肾动脉栓塞治愈 3例。结论尿液检查和B超检查快速安全无损伤 ,CT检查准确率高。治疗方法取决于肾损伤程度、范围及合并伤情况
Objective To investigate the diagnosis and treatment of closed renal injury. Methods Retrospective analysis of 62 cases of closed renal injury clinical data. Results Hematuria in 60 cases (96.8%). Intravenous urography (IVU) detection rate was 71.0%, B-ultrasound detection rate was 85.4%, CT detection rate was 10%. Conservative treatment of 52 cases, 7 cases of surgical cure, selective renal artery embolization cured in 3 cases. Conclusion The urinalysis and B-ultrasound are safe and non-destructive, and the accuracy of CT examination is high. Treatment depends on the extent of renal injury, the scope and the combined injury situation