摘要
目的探讨胡桃夹综合征(NCS)的诊断及治疗方法。方法对1例NCS患者临床表现及诊断与治疗进行分析讨论。结果术后3月复查精子情况好转,蛋白尿消失,彩超示新建循环通路畅通。结论NCS临床表现复杂,诊断应将症状与辅助检查相结合,精索静脉髂外静脉分流是治疗NCS的方法之一。
Objective To explore the diagnosis and treatment of nutcracker syndrome （NCS）. Methods A 19-year-old male patient with NCS was reported, whose clinical features were characterized by severe varicocele and proteinuria. Doppler ultrasound and CT scan showed that left renal vein was clearly compressed and became thiner than normal, and the angle of abdominal aorta and superior mesenteric artery also became smaller than normal. The patient received a shunt from left spermatic cord vein to external iliac vein. Results During the follow-up of 3 months, the routine semen test results were normal, and proteinuria disappeared. Doppler ultrasound showed that the new circulation were smooth. No perioperative complications were found. Conclusion The clinical manifestation of NCS is complex, so diagnosis must combine symptoms with auxiliary test. A shunt from venaspermatica to external iliac vein may be an effective and safe treatment for NCS, but the long-term efficacy still needs confirming.
出处
《现代泌尿外科杂志》
CAS
2009年第2期128-129,共2页
Journal of Modern Urology
关键词
胡桃夹综合征
精索静脉髂外静脉分流术
nutcracker syndrome
shunt from spermatic cord vein to external iliac vein
