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左生殖静脉-下腔静脉转流术治疗胡桃夹综合征合并精索静脉曲张一例

黄梦菊 狄潇 徐维锋 王萱 陈跃鑫 郑月宏

黄梦菊, 狄潇, 徐维锋, 王萱, 陈跃鑫, 郑月宏. 左生殖静脉-下腔静脉转流术治疗胡桃夹综合征合并精索静脉曲张一例[J]. 协和医学杂志, 2022, 13(4): 658-663. doi: 10.12290/xhyxzz.2021-0503
引用本文: 黄梦菊, 狄潇, 徐维锋, 王萱, 陈跃鑫, 郑月宏. 左生殖静脉-下腔静脉转流术治疗胡桃夹综合征合并精索静脉曲张一例[J]. 协和医学杂志, 2022, 13(4): 658-663. doi: 10.12290/xhyxzz.2021-0503
HUANG Mengju, DI Xiao, XU Weifeng, WANG Xuan, CHEN Yuexin, ZHENG Yuehong. Nutcracker Syndrome with Varicocele Treated with Left Gonadal Vein-inferior Vena Cava Transposition and High Ligation of Spermatic Vein: A Case Report[J]. Medical Journal of Peking Union Medical College Hospital, 2022, 13(4): 658-663. doi: 10.12290/xhyxzz.2021-0503
Citation: HUANG Mengju, DI Xiao, XU Weifeng, WANG Xuan, CHEN Yuexin, ZHENG Yuehong. Nutcracker Syndrome with Varicocele Treated with Left Gonadal Vein-inferior Vena Cava Transposition and High Ligation of Spermatic Vein: A Case Report[J]. Medical Journal of Peking Union Medical College Hospital, 2022, 13(4): 658-663. doi: 10.12290/xhyxzz.2021-0503

左生殖静脉-下腔静脉转流术治疗胡桃夹综合征合并精索静脉曲张一例

doi: 10.12290/xhyxzz.2021-0503
基金项目: 

北京市自然科学基金 M22028

详细信息
    通讯作者:

    陈跃鑫, E-mail: cyuexin2007@163.com

    郑月宏, E-mail: yuehongzheng@yahoo.com

  • 中图分类号: R692.1+6; R543.6

Nutcracker Syndrome with Varicocele Treated with Left Gonadal Vein-inferior Vena Cava Transposition and High Ligation of Spermatic Vein: A Case Report

Funds: 

Natural Science Foundation of Beijing M22028

More Information
  • 摘要: 胡桃夹综合征是一种罕见疾病,可导致患者出现蛋白尿、肾功能受损及生殖静脉曲张等系列症状。传统开放手术方式首选左肾静脉转位术,但手术创伤较大,术后近、远期并发症较多,影响患者生活质量。本文报道1例胡桃夹综合征合并左精索静脉曲张的男性青年患者,采用左生殖静脉-下腔静脉转流术并左精索静脉高位结扎术的手术方式,取得了良好治疗效果。该手术方式为胡桃夹综合征合并精索静脉曲张患者提供了新的治疗思路,值得临床借鉴。
    作者贡献:黄梦菊负责文献检索及论文撰写;陈跃鑫负责患者诊治、文章选题及质量控制;狄潇、徐维锋、王萱、郑月宏等负责提供相关资料。
    利益冲突:所有作者均声明不存在利益冲突
  • 图  1  患者髂静脉超声检查示左髂总静脉远段受压改变(箭头)

    A.左髂内、外静脉汇入髂总静脉;B.左髂总静脉

    图  2  患者腹部肾门水平轴位MRI检查示左肾静脉(红色轮廓线、红色箭头)于腹主动脉(蓝色轮廓线、蓝色箭头)及肠系膜上动脉(绿色轮廓线、绿色箭头)间走行,管腔受压狭窄

    图  3  患者左肾静脉造影检查可见左肾静脉远心段局限性扩张(红色箭头);蓝色箭头为下腔静脉,绿色箭头为左生殖静脉

    图  4  患者行左生殖静脉-下腔静脉转流术视野图

    A.游离左生殖静脉(绿色箭头),套带备用;B. 将左生殖静脉转流于下腔静脉(蓝色箭头)

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出版历程
  • 收稿日期:  2021-06-29
  • 录用日期:  2021-10-12
  • 网络出版日期:  2022-06-11
  • 刊出日期:  2022-07-30

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