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多排螺旋 CT 在肾损伤诊断和治疗中的应用。

Multidetector computed tomography in the diagnosis and management of renal trauma.

机构信息

Dipartimento di Diagnostica per Immagini, Presidio Ospedaliero Pineta Grande, Via Domiziana Km. 30, Castel Volturno, 81030 Caserta, Italy.

出版信息

Radiol Med. 2010 Sep;115(6):936-49. doi: 10.1007/s11547-010-0565-5. Epub 2010 Jun 23.

Abstract

Renal injuries fall within the broad and complex subject of retroperitoneal trauma. Although their computed tomography (CT) features have been known for a while, the timing, diagnostic approach and management are still debated. In addition, some areas of uncertainty remain regarding timing, indications and imaging modalities to be used in the follow-up of these patients. The purpose of this paper is to review the impact of CT on the management of renal trauma, stressing the importance of this technique and the role of the radiologist in the timing of decisions. Finally, we discuss the diagnostic approach to the follow-up of renal trauma.

摘要

肾损伤属于腹膜后创伤这一广泛而复杂的领域。尽管其 CT 特征已经为人们所知一段时间了,但在诊断方法和管理方面仍存在争议。此外,在这些患者的随访中,关于时间、适应症和成像方式的一些不确定领域仍然存在。本文旨在回顾 CT 对肾损伤管理的影响,强调该技术的重要性以及放射科医生在决策时间方面的作用。最后,我们讨论了肾损伤随访的诊断方法。

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