【摘要】 目的：探讨闭合性肾损伤的诊断和治疗方法。方法：分析报告189倒闭合性肾损伤的临床诊断和治疗情况。结果：B超、CT检出率分别为84％和100％；181例采用非手术治疗，肾切除术3例．肾修补术4例，延期尿外渗引流术1例，全部治愈．无严重并发症。结论：肾损伤的诊断应首选B超、CT诊断、分型更为准确；广泛性肾裂伤采用非手术治疗效果良好；功能肾、孤肾损伤应首选肾动脉分枝栓塞；腹股后血肿起过中线或超过中腹部者应作肾脏探查。更多还原

【Abstract】 objective: To approch dingnosis and treatment of renal injury. Methods: 189 cases with renal injury were reported 181 cases were treated by non-operative. 3 cases by nephrectomy, 4 cases by renal repaired. 1 case by latter urinoma drainage. Results: The accurate diagnostic rates of renal injury by BUS reached 84%, and by CT 100%, and there were not any serious complications. Conclusions: In renal injury, of all methods BUS should be selected first, but it is more accurate that classifying the renal injury by using CT. It is satisfactory that the method of non-operative therapy of the extensive laceration of kidney is used. Renal artery branch embolism is the first selection when the function’s kidney or single kidney is injured. It is necessary that the kidney is exptorated when retro-peritoued bleeding exceeds to the middle lines, or the more middle abdomen.更多还原