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The value of multi-phase scan by multi-slice spiral CT in severe renal trauma |
ZHAO Hui-ping, JIANG Gao-min |
Department of Radiology, the Affiliated Hospital of Jilin Medical College, Jilin Jilin 132013, China |
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Abstract Objective: To explore the value of contrast enhanced multiphase spiral CT in diagnosing severe renal trauma. Methods: The imaging characters of plain CT scan and contrast-enhancement scan in 26 patients were reviewed. Fifteen cases of them were compared with the operation results and 11 cases were observed clinically. Results: Twenty-six cases were all severe renal trauma, the depth of laceration in 11 cases was over 1.0 cm without the rupture of collection system or urinary extravasation, in 10 cases, the laceration involved the whole renal parenchyma, collection system and the main branches of renal arteries and veins, which caused perirenal hematoma and urinary extravasation obviously. Crushed kidneys were diagnosed in 5 cases. Conclusion: The multiphase spiral CT can define the degree and range of the severe renal trauma, and can provide reliable evidence for clinical operation treatment.
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Received: 10 April 2012
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Corresponding Authors:
JIANG Gao-min
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