Lee Young Joon, Oh Soon Nam, Rha Sung Eun, Byun Jae Young
Department of Diagnostic Radiology, Division of Abdominal Radiology, Kangnam St. Mary's Hospital, The Catholic University of Korea, 505 Banpo-dong Seocho-gu, Seoul 137-701, Republic of Korea.
Radiol Clin North Am. 2007 May;45(3):581-92, ix. doi: 10.1016/j.rcl.2007.04.004.
Urinary tract injury occurs in 10% of all abdominal trauma patients, and the kidney is the most commonly injured organ in the urinary tract. CT with contrast enhancement is the modality of choice for cross-sectional imaging of renal trauma because it quickly and accurately can demonstrate injury to the renal parenchyma, renal pedicles, and associated abdominal or retroperitoneal organs. This article reviews the mechanism, clinical features, imaging modalities, and CT imaging findings according to the classification of the renal trauma. Trauma to underlying abnormal kidneys, iatrogenic renal injuries, and complications of renal trauma are reviewed also.
10%的腹部创伤患者会发生尿路损伤，而肾脏是尿路中最常受伤的器官。增强CT是肾创伤横断面成像的首选方式，因为它能快速、准确地显示肾实质、肾蒂以及相关腹部或腹膜后器官的损伤。本文根据肾创伤的分类，对其机制、临床特征、成像方式及CT成像表现进行综述。同时也对潜在异常肾脏的创伤、医源性肾损伤及肾创伤的并发症进行综述。
