钝性肾损伤诊断与处理的最新进展

Recent advances in the diagnosis and management of blunt renal trauma.

作者信息

Cockett A T, Frank I N, Davis R S, Linke C A

出版信息

J Urol. 1975 Jun;113(6):750-4. doi: 10.1016/s0022-5347(17)59573-7.

Abstract

Experience with 207 cases of blunt renal trauma is reviewed. We have found that renal scans and selective renal arteriography are the most informative diagnostic tests. However, in a small community setting we suggest use of an infusion urogram and a retrograde pyelogram. Our accuracy rates with these 4 diagnostic tests are listed and selected cases are illustrated. We believe that if exploration is warranted, kidney salvage rates will be improved because of an accurate assessment of the extent of renal injury.

摘要

回顾了207例钝性肾外伤的经验。我们发现肾脏扫描和选择性肾动脉造影是最具诊断价值的检查。然而，在小型社区环境中，我们建议使用静脉肾盂造影和逆行肾盂造影。列出了这4种诊断检查的准确率，并举例说明了一些病例。我们认为，如果有必要进行探查，由于对肾损伤程度的准确评估，肾脏挽救率将会提高。