The diagnosis and treatment of the close renal trauma (a report 129 cases)

VernacularTitle:闭合性肾脏损伤129例诊治分析
Author: Changsong PEI ; Yi WU ; Qiyu PENG ; Ke LI ; Shuchen XUE ; Yulin WANG
Publication Type:Journal Article
Keywords: Wounds and Injuries; Kidney; Nephrectomy
From: Chinese Journal of Primary Medicine and Pharmacy 2010;17(22):3063-3064
CountryChina
Language:Chinese
Abstract: Objective To evaluate the diagnostic rate and treatment effect of close renal trauma.Methods The clinical data of 129 cases of close renal trauma were analyzed retrospectively. Results Lumbago or bellyache occurred in 109 cases,hematuria 113 cases,coexistent injuries of other organs 81 cases. 129 cases were examined by type B-ultrasonography, 102 cases by CT scan open operation on 17 cases and others were treated non-operatively. 118 cases have been followed up for 3 months to 56 months with normal urine routine and IVU.Conclusions Usually urine inspection and B-ultrasonography were simple,instant reliable and safe. The accurate diagnosis rate was higher with CT scanning,CT scan was helpful in detecting the degree of renal injury and any coexistent injuries,and to estimate the treatment effect. Laparotomy should undertaken for the case of severe injury or with coexistent injuries in rime.