|
KMID : 0371919880010010077
|
|
Journal of Wonju College of Medicine
1988 Volume.1 No. 1 p.77 ~ p.84
|
|
|
Evaluation of CT Findings in Renal and Retropertonel Injury
|
|
|
|
|
Abstract
|
|
|
The CT findings of the renal and retroperitoneal injuries in diagnosis were retropsectively reviwed in conjunction with operative findings and clinical follow up in 35 patients at our hospital from the period of Mar. 1986 to Oct. 1987.
We also evaluated the effectivenss and significance of the CT scan in renal and retroperitoneal injuries with respect to the diagnosis and treatment.
The results were as follows;
1. The men between their 20´s and 40´s had the high incidence of renal and retroperitoneal injuries. Moter vehicle and falling down injury were main contributors to the kidency and retroperitoneum.
2. As for the distribution of injury site, 25 (66%) cases out of 38 in 35 patients had been identified as renal and retroperitioneal injuries, 7 cases (18%) as retroperitoneal injuries and 6 cases (16%) as renal injuries.
3. Among 31 cases of renal injury, the most common type of injury was transected or shattered type at 9 cases (29%), followed by intraparenchymal type at 7 cases (23%), subcapsular type at 6 cases (19%), mixed type at 6 cases (19%), lacerated type at 2 cases (6%) and nonopacified type at one case (3%).
4. As regards 32 cases of retroperitoneal injury type, perirenal and pararenal space hemorrhage was the highest 15 cases (47%), followed by perirenal space hemorrhage at 9 case (28%) and pararenal space hemorrhage at 8 cases (25%).
5. As for the associated organ injuries, 23 (66%) patiets out of 35 had 62 cases of injuries: Among them, liver injury accounted for 12 cases (19%), hemoperitoneum, 10 cases (16%), soft tissue injury, 10 cases (16%) and bone injury, 9 cases (15%). Above metioned injuries comprised 66% of the associated organ injuries.
6. 21 (66%) patients out of 32 (3 patients died before treatment was done) were recovered by conservative treatment.
We reached the conclusion that CT scan of renal and retroperitoneal injuries makes it possible to do more accurate diagnosis than other radiological modality and that CT scan is the most effective and valuable modality in conservative treatment.
|
|
|
KEYWORD
|
|
|
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
|
|
|