肾脏损伤；分级；体层摄影术；CT____

肾损伤的CT分级诊断

http://www.100md.com 《实用医技杂志》 2006年第16期

肾脏损伤；分级；体层摄影术；CT,,],肾脏损伤；分级；体层摄影术；CT,1资料与方法,2结果,3讨论,参考文献：

     [摘要] 目的：探讨肾损伤的螺旋CT分级诊断。方法：对86例肾损伤患者的螺旋CT平扫、增强扫描和延迟扫描结果进行回顾性分析。结果:CT表现为肾影增大39例；肾轮廓不规则56例；肾包膜下血肿47例；肾内血肿36例；肾周血肿31例；肾撕裂或断裂48例；肾粉碎8例；肾动脉主干断裂或闭塞1例。CT分级的手术符合率为93.8%，非手术治愈70例，1级~4级分别为48例、17例、5例和0例。结论：螺旋CT增强扫描和延迟扫描在肾损伤诊断中有重要的作用，特别是CT分级有助于临床治疗方案的选择。

    [关键词] 肾脏损伤；分级；体层摄影术；CT

    CT Grading of Renal Injuries

    TU Meng

    (The People's Hospital of Yunyang County, Chongqing 404500,China)

    Abstract：Objective The evaluate spiral CT grading of renal injuries.Methods Image data of plain spiral CT,enhanced CT,and delayed enhanced CT scans in 86 cases of renal trauma were retrospectively analyzed.Results CT showed kidney enlargement in 39 cases,marginal irregularity in 56,subcapsular hematoma in 47,intrarenal hematoma in 36,perinephric hemorrhage in 36,laceration or tear in 48,shattered kidney in 8 ......

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