| 陈少川,张源锋,郑旭峰,林纲毅,徐庆春,张永海.CT血管造影联合CT尿路成像在重度闭合性肾损伤患者中的临床应用价值分析[J].,2021,(18):3583-3587 |
| CT血管造影联合CT尿路成像在重度闭合性肾损伤患者中的临床应用价值分析 |
| Clinical Application Value of CT Angiography Combined with CT Urography in Patients with Severe Closed Renal Injury |
| 投稿时间：2021-02-21 修订日期：2021-03-17 |
| DOI：10.13241/j.cnki.pmb.2021.18.040 |
| 中文关键词: 闭合性肾损伤 重度 肾动脉栓塞 CT血管造影 CT尿路成像 |
| 英文关键词: Closed renal injury Severe Renal artery embolism CT angiography CT urography |
| 基金项目:广东省汕头市科技计划医疗卫生类别项目（汕府科[2019]11号-42）；广东省医学科学技术研究基金项目（A2020236） |
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| 中文摘要: |
| 摘要 目的：探讨CT血管造影（CTA）联合CT尿路成像（CTU）检查在重度闭合性肾损伤患者临床处理中应用价值。方法：收集并分析2017年1月-2019年12月我院收治的9例诊断重度闭合性肾损伤患者的临床资料，入院时先行急诊CT平扫检查了解肾挫伤情况，确定重度肾损伤再进一步行CTA联合CTU检查，根据检查结果选择合适的治疗方案（保守治疗、选择性肾动脉介入栓塞治疗、手术治疗）。结果：9例患者均成功救治。保守治疗4例，肾动脉介入栓塞治疗5例（其中有2例行肾动脉介入栓塞后再行手术治疗）。随访3-8个月，患者恢复良好，无明显并发症。结论：肾动脉CTA联合CTU检查，能全面提供肾血管及肾盂、输尿管、邻近脏器等的解剖信息，明确损伤程度，为介入和手术治疗提供良好的术前指导，尤其是结合肾动脉选择性栓塞，能最大限度保留肾脏功能，提高抢救率，具有重要的临床应用价值。 |
| 英文摘要: |
| ABSTRACT Objective: To investigate the application value of CT angiography (CTA) combined with CT urography (CTU) in the clinical treatment of patients with severe closed renal injury. Methods: The clinical data of 9 patients with severe closed renal injury admitted to our hospital from January 2017 to December 2019 were collected and analyzed. On admission, emergency CT scan was performed to understand the situation of renal contusion, and then CTA combined with CTU was further performed. According to the examination results, appropriate treatment options (conservative treatment, selective renal artery interventional embolization treatment, surgical treatment) were selected. Results: All the 9 patients were treated successfully. Conservative treatment was performed in 4 cases and renal artery interventional embolization in 5 cases(2 cases were treated with operation after renal artery embolization). The patients were followed up for 3-8 months and recovered well without obvious complications. Conclusion: Renal artery CTA combined with CTU examination can provide anatomic information of renal vessels, renal pelvis, ureter, adjacent organs, etc., determine the degree of injury, provide good preoperative guidance for interventional and surgical treatment, especially combined with selective renal artery embolization, which can maximize the renal function and improve the rescue rate, which has important clinical application value. |
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