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目的 探讨肾损伤CT检查征象、分期依据及临床价值。方法 收集 2 6例肾损伤患者 ,采用螺旋CT平扫加增强扫描 ,根据征象进行分期。结果 单侧肾损伤 2 5例 ,双侧 1例。CT表现肾肿大 (12例 ) ,肾挫裂伤 (2 1例 ) ,肾碎裂 (3例 ) ,肾内血肿或出血 (2 4例 ) ,肾被膜下出血 (2 5例 ) ,肾周间隙及肾前后间隙出血 (12例 ) ,多组织及脏器损伤 (4例 )。CT分期为 :Ⅰ期 12例 ,Ⅱ期 6例 ,Ⅲ期 3例 ,Ⅳ期 5例。结论 CT平扫加增强扫描是肾损伤首选检查方法 ,正确的分期对临床治疗方法的选择有重要指导作用
Objective To investigate the CT signs of renal injury, staging basis and clinical value. Methods Twenty-six patients with renal injury were collected. Spiral CT scan and contrast-enhanced scan were performed according to the signs. Results 25 cases of unilateral renal injury, bilateral in 1 case. CT showed renal enlargement (12 cases), renal contusion (21 cases), renal fragmentation (3 cases), intrarenal hematoma or hemorrhage (24 cases), subrenal hemorrhage (25 cases), renal Peripheral space and anterior and posterior renal bleeding (12 cases), multiple tissue and organ injury (4 cases). CT staging: Ⅰ in 12 cases, Ⅱ in 6 cases, Ⅲ in 3 cases, Ⅳ in 5 cases. Conclusion CT scan combined with enhanced scan is the preferred method of renal injury examination, the correct staging of the clinical treatment of choice has an important guiding role