【摘要】 目的:总结闭合性肾脏损伤的治疗体会,以期达到尽可能保留肾脏或肾单位,减少肾切除率,提高肾脏损伤的治疗水平。方法:回顾性分析我院自1993-09～2009-04间收治68例闭合性肾脏损伤患者的临床资料,其中男性52例(76%),女性14例(24%),年龄8～66岁,平均36.4岁。综合应用B超、IVU、CT等诊断为闭合性肾损伤。结果:本组68例患者,保守治疗40例(59%),手术治疗28例(41%),其中肾切除16例,肾部分切除4例,肾修补术8例。本组死亡2例(3%),死于严重的复合伤与休克。66例治愈出院。19例(28%)随访1～6 a,肾性高血压2例,肾萎缩3例。肾功能均正常。结论:对于闭合性肾脏损伤的患者,首先要正确评估伤情,选择适当的治疗方案,大多数可获满意的治疗效果。更多还原

【Abstract】 Objective:To study the treatment of blunt renal trauma so as to increase the survival rate of the kidneys and improve the management of blunt renal trauma.Methods:A retrospective analysis was done in 68 cases with blunt renal trauma admitted in Heng Gang people’s hospital from.September 1993 to April 2009.of All cases incluede 52 males(76%) and 14 female(24%),at ages of 8-67 years,37 at average.A varity of examinations,including B-ultrasonography,intravenous urography(IVU) and CT were used for diagnosis in these cases.Results:40 cases(59%) were treated with non-operation and 28 cases 41% with operation.The nephrectomy was perfomed in 16 cases.Partial nephrectomy was perfomed in 4 cases and renal repair was carried out in 8 cases,2 cases(3%) died of severe compound trauma and shock,and the other 66 cases recovered.19 cases(28%) were followed up from 1-6 years.Renal hypertension occured in 2 cases,urinoma in 3.Conclusion:For renal trauma cases,the first and most important step is to evaluate the trauma condition so as to correctly determine whether an operation exploration is needed.更多还原