Otto H
Rontgenblatter. 1981 Aug;34(8):323-7.
Radiological examinations occupy a very important position in the clarification of the diagnosis of traumatic changes observed in the kidneys, the emphasis being on considerations of differential therapy. The most important of all the examinations is the excretion urogram; the first, although unspecific, pointers are supplied by roentgenography without contrast medium. The only safe sign confirming that rupture has occurred, is the extravasation of contrast medium. Immediately angiography is mandatory in case there is no excretion of contrast medium; delayed angiography should be performed whenever the situation cannot be properly clarified by means of excretion urography, sonography and computerized tomography. Regular follow-up examinations are imperative following surgical and conservative therapy; this is the only way to detect complications well in time, such complications being relatively frequent.
放射学检查在明确肾脏创伤性改变的诊断中占据非常重要的地位，重点在于考虑鉴别治疗。所有检查中最重要的是排泄性尿路造影；首先，尽管缺乏特异性，但无造影剂的X线检查可提供一些线索。确认破裂发生的唯一可靠迹象是造影剂外渗。如果没有造影剂排泄，必须立即进行血管造影；只要通过排泄性尿路造影、超声检查和计算机断层扫描不能充分明确情况，就应进行延迟血管造影。手术和保守治疗后必须定期进行随访检查；这是及时发现并发症的唯一方法，此类并发症相对常见。
