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Vol. 12, Art. 119 (pp. 1450-1466)    |    2011       

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Diagnostic features at renal complications of combined kidney injury in acute and early periods of traumatic disease

Komyakov B.K., Soroka I.V., Savello V.E., Shanava G.S., Basek I.V.

1) North-west state university I.I. Mechnikov, St.-Petersburg
2) Dzanelidze Research Emergency Institute, St.-Petersburg

Brief summary

Timely diagnostics of complications at kidney injury remains a challenge. On the example of 176 patients with renal injuries treated in I.I. Janelidze Medical research institute of emergency from 1987 to 2008 with posttraumatic renal complications were studied the diagnostic capabilities of ultrasound, excretory urography, CT and other radiological methods. From all the radiological methods, best performance of the diagnostic value are CT (sensitivity in trauma disease in the late period amounted to - 96,0%, specificity - 66,7%, and diagnostic accuracy - 91,5%) followed by ultrasound (sensitivity - 92,3%, and diagnostic accuracy - 89,4%), followed by antegrade ureteropielography (sensitivity - 80,0%, diagnostic accuracy - 83,3%) and intravenous urography (sensitivity - 79,3%, diagnostic accuracy - 75,6%). The lowest rates are panoramic radiography of kidneys (sensitivity - 33,3%, diagnostic accuracy - 50,0%), and fistulography (sensitivity - 14,3%, specificity -50,0% and diagnostic accuracy - 22,2%).


Key words

combined trauma kidney complications, diagnosis, radiological methods.

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