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泌尿生殖系统创伤影像学

Imaging Genitourinary Trauma.

作者信息

Dane Bari, Baxter Alexander B, Bernstein Mark P

机构信息

Division of Trauma and Emergency Imaging, Department of Radiology, Bellevue Hospital/NYU Langone Medical Center, 550 1st Avenue, New York, NY 10016, USA.

Division of Trauma and Emergency Imaging, Department of Radiology, Bellevue Hospital/NYU Langone Medical Center, 550 1st Avenue, New York, NY 10016, USA.

出版信息

Radiol Clin North Am. 2017 Mar;55(2):321-335. doi: 10.1016/j.rcl.2016.10.007. Epub 2016 Dec 27.

Abstract

Contrast-enhanced multidetector computed tomography (MDCT) has become a critical tool in the evaluation of the trauma patient. MDCT can quickly and accurately assess trauma patients for renal, ureteral, and bladder injuries. Moreover, CT guides clinical management triaging patients to those requiring discharge, observation, angioembolization, and surgery. Recognition of urinary tract trauma on initial scan acquisition should prompt delayed excretory phase imaging to identify urine leaks. Urethral and testicular trauma are imaged with retrograde urethrography and sonography, respectively.

摘要

对比增强多层螺旋计算机断层扫描(MDCT)已成为评估创伤患者的关键工具。MDCT可以快速、准确地评估创伤患者是否存在肾、输尿管和膀胱损伤。此外,CT指导临床管理,将患者分诊为需要出院、观察、血管栓塞和手术的患者。在初次扫描时识别尿路创伤应促使进行延迟排泄期成像以确定尿液渗漏。尿道和睾丸创伤分别通过逆行尿道造影和超声检查进行成像。

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