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目的：探讨闭合性肾损伤的诊断和治疗方法。方法：分析报告189倒闭合性肾损伤的临床诊断和治疗情况。结果：B超、CT检出率分别为84％和100％；181例采用非手术治疗，肾切除术3例．肾修补术4例，延期尿外渗引流术1例，全部治愈．无严重并发症。结论：肾损伤的诊断应首选B超、CT诊断、分型更为准确；广泛性肾裂伤采用非手术治疗效果良好；功能肾、孤肾损伤应首选肾动脉分枝栓塞；腹股后血肿起过中线或超过中腹部者应作肾脏探查。
Objective: To investigate the diagnosis and treatment of closed renal injury. Methods: Analysis Report 189 Clinical Diagnosis and Treatment of Close-Combined Renal Injury. Results: The detection rates of B ultrasound and CT were 84% and 100% respectively; 181 cases were treated by non-operation and 3 cases were treated by nephrectomy. Renal repair in 4 cases, delayed urinary drainage and drainage in 1 case, all cured. No serious complications. Conclusion: The diagnosis of renal injury should be the first choice of B-, CT diagnosis, more accurate typing; extensive renal nephrolithotomy using non-surgical treatment is good; functional kidney, kidney injury should be the preferred choice of renal artery embolization; posterior abdominal hematoma Have been over the midline or over the abdomen should be made for exploration of the kidneys.