Department of Surgery, University of Wisconsin School of Medicine and Public Health, Madison, Wisc.
Division of Transplant Surgery, University of Wisconsin School of Medicine and Public Health, Madison, Wisc; Division of Transplant Surgery, University of Maryland, Baltimore, Md.
J Vasc Surg Venous Lymphat Disord. 2019 Sep;7(5):739-741. doi: 10.1016/j.jvsv.2019.03.003. Epub 2019 Jul 16.
Left renal vein transposition is often the preferred treatment of nutcracker syndrome. However, pain returns in some patients despite surgery. One solution to this problem is renal autotransplantation. Here we report our initial results of renal autotransplantation in patients with persistent flank pain despite a previous left renal vein transposition. We used the University of Wisconsin loin pain hematuria syndrome test as a diagnostic maneuver to determine who may benefit from renal autotransplantation; this procedure subsequently resulted in complete pain resolution in all three patients. All patients underwent successful renal autotransplantation and remain pain free. These cases support the test as a diagnostic maneuver to determine which patients may benefit from renal autotransplantation.
左肾静脉移位通常是胡桃夹综合征的首选治疗方法。然而，尽管手术治疗，一些患者的疼痛仍会复发。解决这个问题的一个方法是肾自体移植。在这里，我们报告了我们在先前左肾静脉移位后仍有持续性腰痛的患者中进行肾自体移植的初步结果。我们使用威斯康星大学腰背痛血尿综合征测试作为诊断手段，以确定哪些患者可能从肾自体移植中受益；这一过程随后使所有 3 名患者的疼痛完全缓解。所有患者均成功进行了肾自体移植，且疼痛完全消失。这些病例支持将该测试作为诊断手段，以确定哪些患者可能从肾自体移植中受益。
