Iizuka N, Onishi T, Kondo N, Masuda F, Nakada G, Mori Y, Suzuki M, Machida T
Hinyokika Kiyo. 1986 May;32(5):691-5.
We experienced 25 cases of renal trauma in our hospitals during the past 5 years, 20 cases were male and 5 cases were female, ranging in age 10 to 51 years old with average 26 years old, and the chief complaints were gross-hematuria and pain of renal region. We studied the IVP and CT patterns of these cases. IVP revealed 13 cases of renal contusion, 11 cases of renal lacerated wound and 1 case of renal fragmentation. The CT scan of 14 cases showed that it was useful for the diagnosis of the degree of renal trauma, especially, for hematoma surroundings the kidneys. The hematoma surrounding the kidneys was clearly noted in 7 cases by CT scan, but the unclearness of renal contours and iliopsoas muscle was considered to suggest the existence of hematoma surrounding the kidneys by IVP. All of the hematoma surrounding the kidneys was absorbed by conservative therapy, but 5 of the 7 cases were treated within 3 months.
在过去5年中，我们医院共收治了25例肾外伤患者，其中男性20例，女性5例，年龄在10至51岁之间，平均年龄26岁，主要症状为肉眼血尿和肾区疼痛。我们研究了这些病例的静脉肾盂造影（IVP）和CT表现。IVP显示13例肾挫伤，11例肾裂伤，1例肾碎裂。14例患者的CT扫描显示，其对肾外伤程度的诊断有帮助，尤其是对肾周血肿。CT扫描清晰显示7例肾周血肿，而IVP显示肾轮廓和腰大肌模糊则提示存在肾周血肿。所有肾周血肿均经保守治疗吸收，但7例中有5例在3个月内得到治疗。
