Taktak Aysel, Hakan Demirkan Tulin, Acar Banu, Gu R Gökçe, Köksoy Adem, Uncu Nermin, Çaycı Fatma Ş, Çakar Nilgu N
Department of Pediatric Nephrology and Rheumatology, Ankara Child Health, Hematology, Oncology Training and Research Hospital, Ankara, Turkey.
Department of Radiology, Ankara Child Health, Hematology, Oncology Training and Research Hospital, Ankara, Turkey.
Arch Argent Pediatr. 2017 Apr 1;115(2):165-168. doi: 10.5546/aap.2017.eng.165.
The term nutcracker syndrome (NS) refers to the compression of left renal vein between the aorta and the superior mesenteric artery (SMA) causing renal venous hypertension. The symptoms vary from asymptomatic hematuria to severe pelvic congestion. The purpose of this study is to evaluate the clinical characteristics of patients with NS and the correlation between clinical and laboratory findings with Doppler sonographic measurements. Sixty-three patients were evaluated (19 boys and 44 girls) since January 2004 to January 2014. The mean age of the patients was 12.21 ± 3.21 years (range 7-17). Hematuria and proteinuria disappeared during the follow up of 9/63 patients. These nine patients showed statistically significant difference in upright SMA angles (p= 0.035). Doppler sonographic evaluation is a non-invasive method for diagnosis NS. Upright SMA angle measurement is more efficient than supine SMA angle measurement on clinicoradiological correlation.
胡桃夹综合征（NS）是指左肾静脉在腹主动脉和肠系膜上动脉（SMA）之间受压，导致肾静脉高压。其症状从无症状血尿到严重盆腔充血不等。本研究的目的是评估胡桃夹综合征患者的临床特征，以及临床和实验室检查结果与多普勒超声测量之间的相关性。自2004年1月至2014年1月，对63例患者（19例男孩和44例女孩）进行了评估。患者的平均年龄为12.21±3.21岁（范围7 - 17岁）。9/63例患者在随访期间血尿和蛋白尿消失。这9例患者在直立位肠系膜上动脉角度方面显示出统计学上的显著差异（p = 0.035）。多普勒超声评估是诊断胡桃夹综合征的一种非侵入性方法。在临床放射学相关性方面，直立位肠系膜上动脉角度测量比仰卧位肠系膜上动脉角度测量更有效。
