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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

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文章导航 > 协和医学杂志  > 2022 > 优先出版
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. 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. doi: 10.12290/xhyxzz.2021-0503
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HUANG Mengju, DI Xiao, XU Weifeng, WANG Xuan, CHEN Yuexin, ZHENG Yuehong. A Case of Nutcracker Syndrome with Varicocele Treated by Left Gonadal Vein-Inferior Vena Cava Transposition and High Ligation of Spermatic Vein[J]. Medical Journal of Peking Union Medical College Hospital. doi: 10.12290/xhyxzz.2021-0503
Citation: HUANG Mengju, DI Xiao, XU Weifeng, WANG Xuan, CHEN Yuexin, ZHENG Yuehong. A Case of Nutcracker Syndrome with Varicocele Treated by Left Gonadal Vein-Inferior Vena Cava Transposition and High Ligation of Spermatic Vein[J]. Medical Journal of Peking Union Medical College Hospital. doi: 10.12290/xhyxzz.2021-0503
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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

doi: 10.12290/xhyxzz.2021-0503

  • 1 中国医学科学院整形外科医院整形14科, 北京 100144;

  • 2 中国医学科学院北京协和医院血管外科, 北京 100730;

  • 3 中国医学科学院北京协和医院泌尿外科, 北京 100730;

  • 4 中国医学科学院北京协和医院放射科, 北京 100730

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

A Case of Nutcracker Syndrome with Varicocele Treated by Left Gonadal Vein-Inferior Vena Cava Transposition and High Ligation of Spermatic Vein

  • 1 The 14 Department of Plastic Surgery, Plastic Surgery Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100144, China;

  • 2 Department of Vascular Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China;

  • 3 Department of Urology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China;

  • 4 Department of Radiology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China

Funds: 

Beijing Municipal Natural Science Foundation（M22028）

    摘要
  • 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,患者术后近、远期并发症较多,影响生活质量。本文报道1例胡桃夹综合征合并左侧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,患者取得了良好的治疗效果。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。
    Abstract: Nutcracker syndrome (NCS) is a rare disease which may cause proteinuria, renal dysfunction and varicose of genital veins.Traditional open surgery preferred left renal vein transposition, but this surgical method is more traumatic and patients often have more postoperative short-term and long-term complications affecting the quality of life.This article reports a case of a young male patient with NCS complicated with left varicocele. He was treated with left gonadal vein-inferior vena cava transposition and high ligation of spermatic vein and achieved good results after surgery.This surgical method provides a new treatment idea for patients with NCS and varicocele, which is worthy of clinical reference.
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    • 参考文献(24)
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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:  2022-06-23

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