Cass A S, Vieira J
Urology. 1987 May;29(5):484-7. doi: 10.1016/0090-4295(87)90033-1.
Excretory urography (IVP) is the primary diagnostic tool for renal injury but has been indeterminate in diagnosing severe renal injuries in most cases. Computed tomography (CT) provides precise anatomic detail of renal injuries. The IVP and CT findings were compared in 22 patients with suspected severe renal injuries suggested by clinical examination and initial screening IVP. CT provided determinate diagnoses in all the cases of severe renal injury, while the IVP diagnoses were indeterminate in 82 per cent of these cases. Although clarification is needed on the accuracy of CT in diagnosing renal vascular injury, the CT diagnoses were accurate in all other types of severe renal injury (as well as minor renal injuries).
排泄性尿路造影（静脉肾盂造影，IVP）是诊断肾损伤的主要工具，但在大多数情况下，对于诊断严重肾损伤并不明确。计算机断层扫描（CT）能提供肾损伤精确的解剖细节。对22例经临床检查及初步筛查IVP提示怀疑有严重肾损伤的患者，比较了IVP和CT的检查结果。CT对所有严重肾损伤病例均能做出明确诊断，而IVP诊断在这些病例中有82%不明确。尽管CT诊断肾血管损伤的准确性仍需进一步明确，但CT对所有其他类型的严重肾损伤（以及轻度肾损伤）诊断均准确。
