CT在外伤性肾损伤诊治中临床价值研究.docVIP

CT在外伤性肾损伤诊治中临床价值研究摘要：目的：对CT在外伤性肾损伤诊治中的临床价值进行分析。方法：收集了我院自2010-2011年间收治的肾脏外伤病例共74例，共79只肾损伤，检查所用的CT机为GE公司生产的prospeed Ⅱ双排螺旋CT扫描仪。扫描范围下起持股联合上缘，上至膈顶；扫描时病人仰卧，层后10mm，间隔10mm，螺距1∶1.5连续扫描，其中8例增强扫描。结果：I型肾挫伤31例，Ⅱ型肾损伤25例，Ⅲ型肾全层断裂伤17例，Ⅳ型肾蒂损伤6例。结论：CT在用于肾外伤的动态观察和术后随访检查时，操作方便，显示清楚，且无需特殊准备，而超声的检查则需要拆开敷料，比较麻烦；检查效果还受到刀口的影响。经临床验证CT能明确诊断肾损伤，并准确确定损伤的类型，为制定治疗方案提供了重要依据。 关键词：CT；外伤性肾损伤；诊治；临床价值 Abstract：Objective:To analyze the clinical value of CT in the traumatic kidney injury diagnosis and treatment. Methods:74 cases of traumatic kidney injury patients diagnosed in our hospital from 2010 to 2011, there were 79 kidneies injured. The checked CT machine was prospeed II double-row spiral CT scanner, which was produced by GE company. Scan range from the holding joint on the edge, to the diaphragm top; scan the patient supine, layers 10mm intervals of 10mm, pitch 1∶1.5 continuous scan, including eight cases of enhanced scan. Results: the type I renal contusion in 31 cases, 25 cases of type II renal injury III renal full-thickness rupture of 17 cases of type IV renal pedicle injury in six cases. Conclusion: CT is used for the dynamic observation of renal trauma and postoperative follow-up examination, easy to operate, clear display, and no special preparation, and ultrasonic inspection you need to open the dressing is too much trouble; check the results by the incision. CT can clearly clinically proven diagnosis of renal damage, and accurately determine the type of injury and provide an important basis for the development of treatment programs. Key words:CT; traumatic kidney injury; treatment; clinical value 【中图分类号】R814.42【文献标识码】A【文章编号】1672-3783(2012)04-0031-01 CT图像有视野广阔、分辨率高等特点，有利于及时发现有无其他腹部脏器的损伤及损伤严重程度；当肾损合并其他部位的损伤时，高质量的CT图像是复查更加方便[1]。本文针对CT在外伤性肾损伤诊治中的临床价值进行分析，现将其报道如下： 1 资料与方法 1.1 一般资料:总样本收集了我院自2010-2011年间收治的肾脏外伤病例共74例，共79只肾损伤，单纯左肾损伤46例，右肾损伤24例，双肾同时损伤5例；其中男性58例，女性16例，年龄8-78岁，平均42.8岁。从伤后到进做CT检查的时间间隔最短为15min，最长为40 h。临床表现：其中仅腰背部疼痛57例，昏迷12例，血尿15例，合并脾挫裂伤32例，肝挫伤6例，存在腹腔积血38例，肠系膜损伤9例