排泄性尿路造影作为钝性肾损伤筛查检查的可靠性。

The reliability of excretory urography as a screening examination for blunt renal trauma.

作者信息

Halsell R D, Vines F S, Shatney C H, Slepin M J, Northup H M, Avara W T, Doan L A

机构信息

Department of Radiology, University Hospital of Jacksonville, Florida 32209.

出版信息

Ann Emerg Med. 1987 Nov;16(11):1236-9. doi: 10.1016/s0196-0644(87)80230-5.

DOI:10.1016/s0196-0644(87)80230-5

PMID:3662183

Abstract

A prospective study was designed to evaluate the reliability of excretory urography (EU) in excluding renal damage in patients with blunt abdominal trauma, using contrast-enhanced computed tomography (CECT) as the "gold standard" of diagnostic studies. Sixty patients with indications for genitourinary evaluation and with normal EU underwent CECT. Five renal injuries were demonstrated by CECT in patients with negative EU: one contusion, one subcapsular hematoma, two perirenal hematomas, and one renal laceration. All of these lesions resolved with conservative patient management. Thus, the CECT findings did not alter treatment in these five patients.

摘要

一项前瞻性研究旨在评估排泄性尿路造影（EU）在排除钝性腹部创伤患者肾损伤方面的可靠性，使用对比增强计算机断层扫描（CECT）作为诊断研究的“金标准”。60例有泌尿生殖系统评估指征且EU正常的患者接受了CECT检查。EU检查结果为阴性的患者中，CECT显示有5例肾损伤：1例挫伤、1例包膜下血肿、2例肾周血肿和1例肾裂伤。所有这些损伤通过保守治疗均已痊愈。因此，这5例患者的CECT检查结果并未改变治疗方案。