기관회원 [로그인]
소속기관에서 받은 아이디, 비밀번호를 입력해 주세요.
개인회원 [로그인]

비회원 구매시 입력하신 핸드폰번호를 입력해 주세요.
본인 인증 후 구매내역을 확인하실 수 있습니다.

회원가입
서지반출
신외상의 방사선학적 고찰
[STEP1]서지반출 형식 선택
파일형식
@
서지도구
SNS
기타
[STEP2]서지반출 정보 선택
  • 제목
  • URL
돌아가기
확인
취소
  • 신외상의 방사선학적 고찰
저자명
강정자
간행물명
대한방사선의학회지
권/호정보
1983년|19권 1호|pp.224-241 (18 pages)
발행정보
대한영상의학회
파일정보
정기간행물|
PDF텍스트
주제분야
기타
이 논문은 한국과학기술정보연구원과 논문 연계를 통해 무료로 제공되는 원문입니다.
서지반출

기타언어초록

Adequate radiologic demonstration of the extent of renal injury following abdominal trauma is an important guide to therapy. In general, renal injries were classified as minor, major or catastrophic based on a combination of radiological and clinical findings. Diagnostic methods were plain abdominal film, IVP, renal angiography and rapid noninvasive methods, such as ultrasonography and CT. This study was carried out to analyze about each diagnostic modalities including the specific findings of various types and extent of trauma and correlation of these studies for the determination of best diagnostic approach. Case materials were 100 cases of renal injuries during our 5 years experience. The results were as follows : 1. Among 100 patients, men predominated over women ; men 82, women 18. about one half (44 cases) of these occured between the age of 11-30. 2. Nonpenetrating blunt trauma account for 98% of cases. Penetrating injuries were only 3 cases. 3. Associated injuries were noted in 23 cases. 4. Renal injuries wee classified into 4 categories. Grade I is contusion (33 cases), II parenchymal injury without pelvocalyceal system involvement (24 cases), III parenchymal injury with pelvocalyceal system involvement (29 cases) and IV injuried involving renal pedicle (15 cases). 5. IVP is the most common initial diagnostic modality and good for screening of patient, but only 30% of specificity is noted. 6. Renal angiography has many advantage with accurate assement of variety of lesion and be a good guience for decision of prognosis and therapy. 7. Ultrasonography and CT are rapid nonivasive study, valuable in assessing the specific type and extent of injury and easily evaluated the entire abdomen. But for the vascular lesion, angiography is preferred than ultrasonography or CT. 8. Conservative management was done in 8 cases. Operation were performed in 33 cases and 28 cases of them were major injuries.