8.2.13

COMPUTED TOMOGRAPHY IN KIDNEY INJURIES DIAGNOSIS

Barmina T.G.1, Sharifullin F.A.1,2, Abakumov M.M.,1, Zabavskaya O.A.1,2

Purpose. To present the possibility of the computed tomography (CT) in determination of a kidney injury for improving the quality of diagnostics and treatment of this group of pa-tients. Materials and methods. Analyzed data comes from 72 СT-researches with 50 pa-tients with kidney injury at the closed injury of a stomach who were on treatment in Sklifo-sovsky Research and Clinical Institute for Emergency Medicine. Data of СT was verified with the results of operations and autopsies. For determination of injury severity of a kidney the scale of Organ Injury Scale (OIS) was used. Results and discussion. Kidney injuries of the 1 degree (a contusion of a kidney and a subcapsular hematoma) were found in 12 patients, including the one with pre-existing pa-thology. Injuries of a kidney of the II degree were revealed in 14 patients: a cortical gap – in 9 cases, a subcapsular hematoma of a kidney with gap signs - in 3 cases; a subcapsular cyst with symptoms of hemorrhage and a gap – in two patients. Kidney injuries of the III degree were diagnosed in 7 patients in the form of a rupture of cortical substance from 12 mm to 18 mm deep. Damages of the IV degree were revealed in cases of 11 patients, including throm-bosis of a segmentary branch of a renal artery in 6 patients. Injuries of a kidney of the V degree were revealed in 6 patients mainly in the form of fragmentation of a kidney. For an assessment of efficiency of treatment of 22 patients CT research in dynamics was executed, identification of complications served as the indication for repeated surgical intervention. Conclusions. СT is an informative method which is possible to define not only an inju-ry of a kidney, but also the degree of its severity. It allows to choose rational tactics for the treatment and to avoid an unreasonable nephrectomy. Performance of СT in dynamics al-lows to estimate efficiency of treatment and in due time to diagnose complications.

1 – Sklifosovsky Research and Clinical Institute for Emergency Medicine. 2 – I.M. Sechenov First Moscow State Medical University (Sechenov University). Moscow, Russia.


 

Keywords: severity of a kidney injury, computed tomography, Organ Injury Scale (OIS).

 

 

Corresponding author:

Barmina T.G., e-mail: Этот e-mail адрес защищен от спам-ботов, для его просмотра у Вас должен быть включен Javascript

 

 

For citation: Barmina T.G., Sharifullin F.A., Abakumov M.M.,, Zabavskaya O.A. Computed tomography in kidney injuries diagnosis. REJR 2018; 8 (2):123-133. DOI:10.21569/2222-7415-2018-8-2-123-133.

Received: 27.03.2018 Accepted: 18.05.2018