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외상환자에서 혈뇨가 관찰되었을 때 신손상의 평가를 위한 복부전산화단층촬영의 임상적 의의
김광진,정현철,송기학,윤정현,문장환 대한외상학회 1998 大韓外傷學會誌 Vol.11 No.2
Hematuria is the most significant sign of the genito-urinary injgry. We studied retrospectively to evaluate the value of the Abdominal Computed Tomography(CT) in evalulation of renal injury in patient with hematuria after trauma. We reviewed 171 patients who were taken abdominal CT due to hewaturia after trauma from Jan. 1997 to Dec. 1997. We analyzed the correlations between hematuria and renal injury, Revision of the Trauma Score (RTS) and association injuries, In the cause of hematuria, traffic accident was 126 cases(73.7%), falling down were 23 cases(13.5%). The degree of hemeturia was correlated with the severity of renal injury(p$lt;0.05). But the degree of hematuria was not correlated with RTS and association injuries(p$gt;0.05). 42 patients were found renal injury more than grade I in CT scan(positive scan rate: 24.6%) and operation rate was 4.7%(8 patients). In conclusion, Abdominal CT is noninvasive and sensitive test for the evaluation of renal injury but we should be careful in deciding to evaluate the hematuria after trauma due to low positive sean rate and operation rate.