胡桃夹综合征患者左肾静脉超声影像特征和规律及其诊断意义探究
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摘要
目的分析胡桃夹综合征患者左肾静脉超声影像特征和规律及其诊断意义。方法选择2016年5月～2018年4月在我院接受诊断的胡桃夹患者150例作为观察组,选择同期体检健康志愿者150例作为对照组,两组受检者均接受超声检查其左肾静脉,分析超声影像特征和规律及其诊断意义。结果观察组经超声检查发现其左肾静脉近心端及远心端内径,近心端及远心端血液流速在站立位、平卧位、双腿蹲位及单膝屈曲卧位时,两两比较,数据差异均有统计学意义(P <0.05);观察组AO与SMA夹角、左肾静脉最窄段内径、左肾静脉最窄段与最宽段内径比值均显著小于对照组,差异有统计学意义(P <0.05)。结论胡桃夹综合征患者左肾静脉近端及远端管腔内径、血液流速在不同体位时数据存在一定的差异,而且其左肾静脉最窄段内径、SMA与AO夹角均低于健康人。
Objective To analyze the ultrasonic image features and regularity of left renal veins in patients with nutcracker syndrome and its diagnostic significance. Methods 150 patients with nutcracker syndrome who were diagnosed in our hospital from May 2016 to April 2018 were selected as the observation group.150 healthy volunteers who underwent physical examinations during the same period were selected as the control group.Ultrasound examination of the left renal vein was performed in both groups,and the characteristics and regularity of the ultrasound image and its diagnostic significance were analyzed. Results Ultrasound examination showed that the diameter and blood flow velocity of the proximal and distal end of the left renal vein was statistically significant different in the standing position,supine position,two-leg kneeling-squatting position and one-knee flexion position(P < 0.05).In the observation group,the angle between AO and SMA,the inner diameter of the narrowest segment of left renal vein and the ratio of inner diameter of the narrowest segment to the widest segment of left renal vein were all significantly smaller than those in the control group.The differences were statistically significant(P < 0.05). Conclusion The internal diameter and blood flow velocity of the proximal and distal renal veins of patients with nutcracker syndrome are different in different positions.The inner diameter of the narrowest segment of the left renal vein and the angle between SMA and AO are lower than those of healthy people.
Objective To analyze the ultrasonic image features and regularity of left renal veins in patients with nutcracker syndrome and its diagnostic significance. Methods 150 patients with nutcracker syndrome who were diagnosed in our hospital from May 2016 to April 2018 were selected as the observation group.150 healthy volunteers who underwent physical examinations during the same period were selected as the control group.Ultrasound examination of the left renal vein was performed in both groups,and the characteristics and regularity of the ultrasound image and its diagnostic significance were analyzed. Results Ultrasound examination showed that the diameter and blood flow velocity of the proximal and distal end of the left renal vein was statistically significant different in the standing position,supine position,two-leg kneeling-squatting position and one-knee flexion position(P < 0.05).In the observation group,the angle between AO and SMA,the inner diameter of the narrowest segment of left renal vein and the ratio of inner diameter of the narrowest segment to the widest segment of left renal vein were all significantly smaller than those in the control group.The differences were statistically significant(P < 0.05). Conclusion The internal diameter and blood flow velocity of the proximal and distal renal veins of patients with nutcracker syndrome are different in different positions.The inner diameter of the narrowest segment of the left renal vein and the angle between SMA and AO are lower than those of healthy people.
引文
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[12]杨裕佳,向茜,唐远姣,等.超声诊断主动脉后型左肾静脉压迫综合征1例[J].中国医学影像技术,2015,31(10):1611.
[13]周黎.超声影像技术诊断胡桃夹综合征的临床价值探究[J].中外医学研究,2017,15(28):42-43.
[14]张桂霞,陈凤茹.成人血尿与胡桃夹综合征的误诊、漏诊及诊断分析[J].中国冶金工业医学杂志,2014,31(4):378.
[15]张艳,吴锡蓉,罗锡惠.彩超对“胡桃夹”综合征的诊断价值[J].中国疗养医学,2013,22(2):178-179.
[16]邓连桂,王晓波,黄佩贤,等.彩色多普勒超声对胡田综合征的诊断研究[J].现代医用影像学,2017,26(5):1229-1231,1237.
[2]石丽红,胡海华.彩超与MSCTA诊断胡桃夹综合征的对比分析[J].浙江医学,2017,39(17):1481-1482.
[3]赵永峰,王丹,田忠祥.浅谈螺旋CT在诊断胡桃夹综合征中的应用[J].中国医学计算机成像杂志,2018,24(1):38-41.
[4]孙金孝,陆昀,丁以芹,等.左肾静脉压迫综合征的超声表现特点及检查价值[J].山西医药杂志,2017,46(19):2320-2321.
[5]柳刚,陈琰,陈利民,等.使用超声造影定量分析评估胡桃夹综合征的研究[J].中国中西医结合肾病杂志,2016,17(9):791-793.
[6]刘艳,闫金波,高华.益肾化湿颗粒联合氯沙坦钾片治疗胡桃夹综合征的临床观察[J].中国民族民间医药,2018,27(10):45-47.
[7]王蓓红,夏正坤,程宝金.左肾静脉压迫综合征的诊治策略[J].实用临床医药杂志,2014,18(13):192-194.
[8]陈丹垒,马红珍.胡桃夹综合征的诊治进展[J].中国中西医结合肾病杂志,2017,18(6):544-546.
[9]周黎.超声影像技术诊断胡桃夹综合征的临床价值探究[J].中外医学研究,2017,15(28):42-43.
[10]王魏龙,唐良友,赵修民,等.胡桃夹综合征临床指标与多排螺旋CT扫描结果的关系[J].山西医药杂志,2015,44(13):1499-1501.
[11]张雪培,任选义,王声政,等.后腹腔镜下左肾静脉支架固定术治疗胡桃夹综合征1例报告[J].微创泌尿外科杂志,2014,3(3):138-141.
[12]杨裕佳,向茜,唐远姣,等.超声诊断主动脉后型左肾静脉压迫综合征1例[J].中国医学影像技术,2015,31(10):1611.
[13]周黎.超声影像技术诊断胡桃夹综合征的临床价值探究[J].中外医学研究,2017,15(28):42-43.
[14]张桂霞,陈凤茹.成人血尿与胡桃夹综合征的误诊、漏诊及诊断分析[J].中国冶金工业医学杂志,2014,31(4):378.
[15]张艳,吴锡蓉,罗锡惠.彩超对“胡桃夹”综合征的诊断价值[J].中国疗养医学,2013,22(2):178-179.
[16]邓连桂,王晓波,黄佩贤,等.彩色多普勒超声对胡田综合征的诊断研究[J].现代医用影像学,2017,26(5):1229-1231,1237.