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周包膜

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Results According to the CT features of part, range and extent of the injured kinds, the lesions could be divided into 4 types:(1) type Ⅰ, simple subpeplos hematoma (4 cases);(2) type Ⅱ, renal parenchyma trauma (7 cases);(3) type Ⅲ, renal parenchyma accompanying hematoma (8 cases);(4) type Ⅳ,broken kidney accompanying perinephric hematoma (5 cases).

结果:根据肾损伤的部位、范围和程度可将CT表现分为四型:Ⅰ型,单纯肾包膜下血肿,4例;Ⅱ型,肾实质挫伤,7例;Ⅲ型,肾挫裂伤并肾内血肿,8例;Ⅳ型,肾裂伤伴肾周血肿,5例。

Materials and Methods:24 consecutive patients in which 22 cases were proved surgicopathologicaly with acute spontaneous perinephric renal hemorrhage were examined with CT (n=24), and DSA (n=3) accompanied embolitherapy.

目的:分析自发性肾破裂致肾包膜下和肾周出血CT与DSA表现,着重讨论其发现肾破裂病因方面的价值。

Methods ct scan were performed with patients suffered from lumbar or abdominal blunt trauma, and ct findings of 24 patients with renal trauma or companying with adjacent injuried organs were analyzed retrospectively.results according to the ct features of part, range and extent of the injured kinds, the lesions could be divided into 4 types:(1) type ⅰ, simple subpeplos hematoma (4 cases);(2) type ⅱ, renal parenchyma trauma (7 cases);(3) type ⅲ, renal parenchyma accompanying hematoma (8 cases);(4) type ⅳ,broken kidney accompanying perinephric hematoma (5 cases).

对闭合性腰部或腹部创伤患者行ct扫描,分析24例肾脏损伤或合并邻近脏器复合性损伤患者的ct征象。结果:根据肾损伤的部位、范围和程度可将ct表现分为四型:ⅰ型,单纯肾包膜下血肿,4例;ⅱ型,肾实质挫伤,7例;ⅲ型,肾挫裂伤并肾内血肿,8例;ⅳ型,肾裂伤伴肾周血肿,5例。

Sbstract CT(n=24) and DSA (n=3) have been conducted for 24 cases of spontaneous rupture of kidney with perirenal hematoma.

分析自发性肾破裂致肾包膜下和肾周出血的CT与选择性肾动脉造影表现,以发现肾破裂病因方面的诊断价值。

The areas that bulge aboe the kidney are separated from the perirenal tissue by renal capsule.

肿瘤如向肾外突出,可借助肾包膜与肾周组织分隔开来。

Results CT screenage could show kidney internal hemorrhage, hematom under envelope, perirenal hematoma, omental bursa hematoma.

结果 36例肾出血CT影像提示为:肾内出血、肾包膜下血肿、肾周血肿及伴网膜囊血肿等。

Results 2 patients with renal contusion,11 patients with envelope haematoma,14 patients with severe renal trauma,6 patients with peri-renal haematoma were found.

结果 Ⅰ型肾挫伤2例,Ⅱ型包膜下血肿11例,Ⅲ型严重肾损伤14例,Ⅳ型单纯肾周血肿6例。

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