Robert M, Averous M, Galifer R B, Guiter J, Grasset D
Service d'Urologie, Hôpital Lapeyronie, Montpellier.
J Chir (Paris). 1992 Feb;129(2):88-94.
During the past ten years, we have treated 26 children with closed renal injuries. Hematuria appeared in 19 cases, but was not detected in 7 other cases, 6 of which corresponded to severe, especially pedicular, lesions. The diagnostic means for the lesion included IVP in 24 cases, ultrasonography in 23, angiography in 8 and computed tomography in 7. The treatment was medical for 18 children and surgical for 8. Observation revealed 4 cases of renal atrophy, including 1 of general atrophy without residual arterial hypertension. On the basis of this series and of a review of the literature, we study the evolution of the diagnosis and treatment of this condition with the development of new medical imaging techniques, especially of CT.
在过去十年间，我们共治疗了26例闭合性肾损伤患儿。19例出现血尿，但另有7例未检测到血尿，其中6例对应严重损伤，尤其是肾蒂损伤。损伤的诊断方法包括24例行静脉肾盂造影（IVP）、23例行超声检查、8例行血管造影和7例行计算机断层扫描（CT）。18例患儿接受保守治疗，8例接受手术治疗。观察发现4例肾萎缩，其中1例为广泛性萎缩且无残余动脉高血压。基于这一系列病例及文献回顾，我们结合新的医学成像技术，尤其是CT的发展，研究了该病症诊断和治疗的进展。
