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多普勒超声检查在胡桃夹综合征的检测与管理中的作用。

The role of Doppler ultrasonography in the detection and management of nutcracker syndrome.

作者信息

Kim Seung Hyup

机构信息

Professor Emeritus, Department of Radiology, Seoul National University Hospital, Seoul, Korea.

Director Emeritus, SNU Healthy Prostate Urology Clinic, Seoul, Korea.

出版信息

Ultrasonography. 2025 Jan;44(1):31-41. doi: 10.14366/usg.24168. Epub 2024 Dec 2.

DOI:10.14366/usg.24168
PMID:39710849
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11717685/
Abstract

Nutcracker syndrome is caused by the compression of the left renal vein between the abdominal aorta and the superior mesenteric artery. The use of Doppler ultrasonography to diagnose this condition is challenging due to the dynamic nature of the nutcracker phenomenon and the variability of its symptoms, which can fluctuate with changes in patient posture and respiration. This review emphasizes the critical role of Doppler ultrasonography in identifying and managing nutcracker syndrome. It also explores the various subtypes of the nutcracker phenomenon and discusses how Doppler ultrasonography can improve patient outcomes by enabling management strategies that are informed by dynamic assessments of left renal vein compression.

摘要

胡桃夹综合征是由左肾静脉在腹主动脉和肠系膜上动脉之间受压所致。由于胡桃夹现象的动态特性及其症状的变异性（症状可随患者体位和呼吸变化而波动），使用多普勒超声诊断这种疾病具有挑战性。本综述强调了多普勒超声在识别和管理胡桃夹综合征中的关键作用。它还探讨了胡桃夹现象的各种亚型，并讨论了多普勒超声如何通过实施基于左肾静脉受压动态评估的管理策略来改善患者预后。

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本文引用的文献

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Korean J Radiol. 2022 Nov;23(11):1112-1114. doi: 10.3348/kjr.2022.0617.
2
Doppler US and CT Diagnosis of Nutcracker Syndrome.胡桃夹综合征的多普勒超声与 CT 诊断。
Korean J Radiol. 2019 Dec;20(12):1627-1637. doi: 10.3348/kjr.2019.0084.
3
Clinico-radiological correlation of nutcracker syndrome: a single centre experience.胡桃夹综合征的临床与影像学相关性：单中心经验
Arch Argent Pediatr. 2017 Apr 1;115(2):165-168. doi: 10.5546/aap.2017.eng.165.
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Nutcracker syndrome--how well do we know it?胡桃夹综合征——我们了解多少？
Urology. 2014 Jan;83(1):12-7. doi: 10.1016/j.urology.2013.08.033. Epub 2013 Oct 18.
5
An unusual case of left venous renal entrapment syndrome: a new type of nutcracker phenomenon?左肾静脉受压综合征的罕见病例：一种新型胡桃夹现象？
Surg Radiol Anat. 2013 Apr;35(3):263-7. doi: 10.1007/s00276-012-1027-7. Epub 2012 Oct 2.
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Nutcracker phenomenon and nutcracker syndrome.胡桃夹现象和胡桃夹综合征。
Mayo Clin Proc. 2010 Jun;85(6):552-9. doi: 10.4065/mcp.2009.0586.
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Postural proteinuria associated with left renal vein entrapment: a follow-up evaluation.与左肾静脉受压相关的体位性蛋白尿：随访评估。
Am J Kidney Dis. 2010 Jun;55(6):e29-31. doi: 10.1053/j.ajkd.2010.03.004. Epub 2010 Apr 28.
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Nutcracker syndrome due to left renal vein compression by an aberrant right renal artery.异常右肾动脉压迫左肾静脉所致胡桃夹综合征。
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