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目的探讨成人胡桃夹综合征的临床特点及介入诊治的价值方法4例患者19～39岁,均在外院误诊误治,主要表现为下腹持续疼痛、经量增多、经期延长或反复肉眼血尿B超、CTA及MRA示肾静脉远端扩张或盆腔静脉曲张3例行左肾静脉内放置自膨式支架,1例行左肾静脉重建术结合文献讨论其发病、临床及影像学特点和介入诊治的价值结果术后症状消失,3月及6月分别复查B超和CT示左肾静脉通畅,尿常规正常结论左肾静脉压迫综合征具有一定的临床特点,介入内支架治疗可解除左肾静脉受压
Objective To investigate the clinical characteristics of adult Nutcracker syndrome and the value of interventional diagnosis and treatment of 4 patients 19 to 39 years of age, are misdiagnosed and mistakenly treated outside the hospital, mainly for the lower abdomen persistent pain, increased volume, prolonged or repeated gross hematuria B- , CTA and MRA showed distal renal vein dilatation or pelvic varicose veins 3 cases of left renal vein placed self-expanding stents, 1 case of left renal vein reconstruction combined with the literature on the pathogenesis, clinical and imaging features and interventional diagnosis and treatment The results of postoperative symptoms disappeared in March and June, respectively, review of B- and CT showed left renal vein patency, urinary routine normal conclusion left renal vein compression syndrome has some clinical features, interventional stent treatment can be resolved left renal vein Pressure