Darenkov A F, Ignashin N S, Andrianov V N, Demin A I, Naumenko A A
Urol Nefrol (Mosk). 1990 Jan-Feb(1):53-5.
Ultrasonic investigations (USI) were used in the diagnosis of closed renal injuries in 59 patients (51 males and 8 females) aged from 17 to 65 years. The lesion of the right kidney was diagnosed in 35 (59.3 per cent) patients, the left kidney was affected in 24 (40.7 per cent) of examinees. In 2 persons the injury of the kidney was combined with the lesion of the urinary bladder. According to USI results, the patients with suspected closed trauma were enrolled in 4 groups: persons with an intact renal parenchyma, fibrous capsula and pelvicaliceal renal system (the contusion of the kidney); persons with normal ultrasonic picture of the kidney and the presence of intermuscular hematoma; those with subcapsular hepatoma; and those with pararenal hematoma. USI technique turned to be high-informative in the diagnosis of the occult renal injuries and permitted evaluating the structure of the kidney, the character and degree of the lesion and following up the status of the compromised organ during the conservative treatment.
对59例年龄在17至65岁之间的患者（51例男性和8例女性）进行了超声检查（USI）以诊断闭合性肾损伤。右侧肾脏损伤在35例（59.3%）患者中被诊断出来，左侧肾脏在24例（40.7%）受检者中受到影响。2例患者的肾脏损伤合并膀胱损伤。根据超声检查结果，疑似闭合性创伤的患者被分为4组：肾实质、纤维囊和肾盂肾盏系统完整的患者（肾挫伤）；肾脏超声图像正常但存在肌间血肿的患者；有包膜下血肿的患者；以及肾周血肿的患者。超声检查技术在隐匿性肾损伤的诊断中具有很高的信息量，能够评估肾脏的结构、损伤的性质和程度，并在保守治疗期间跟踪受损器官的状况。
