二维及彩色多普勒超声诊断胡桃夹综合征的临床价值 |
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引用本文: | 黄猛,张超学,陈庆,赵晟,李亮,吴媛媛,郭宁. 二维及彩色多普勒超声诊断胡桃夹综合征的临床价值[J]. 安徽医科大学学报, 2012, 47(5): 604-606 |
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作者姓名: | 黄猛 张超学 陈庆 赵晟 李亮 吴媛媛 郭宁 |
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作者单位: | 黄猛 (安徽医科大学第一附属医院超声科,合肥,230022) ; 张超学 (安徽医科大学第一附属医院超声科,合肥,230022) ; 陈庆 (安徽医科大学第一附属医院超声科,合肥,230022) ; 赵晟 (安徽医科大学第一附属医院超声科,合肥,230022) ; 李亮 (安徽医科大学第一附属医院超声科,合肥,230022) ; 吴媛媛 (安徽医科大学第一附属医院超声科,合肥,230022) ; 郭宁 (安徽医科大学第一附属医院超声科,合肥,230022) ; |
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摘 要: | 对35例胡桃夹综合征(NCP)患者应用二维及彩色多普勒超声检查,所有患者均见左肾静脉明显受压变窄,狭窄前均扩张,仰卧位左肾静脉狭窄前扩张部位近端内径(b)/比狭窄处内径(a)宽2倍以上,脊柱后伸位后宽4倍以上,最宽者达9倍。NCP组狭窄部位流速增快,呈高速湍流频谱。彩色多普勒超声检查可作为NCP诊断的首选方法。
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关 键 词: | 彩色多普勒超声检查 胡桃夹综合征 左肾静脉压迫综合征 |
Diagnostic significance of two-dimensional and color Doppler ultrasound for nutcracker phenomenon |
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Affiliation: | Huang Meng,Zhang Chaoxue,Chen Qing,et al(Dept of Medical Ultrasonics,The First Affiliated Hospital of Anhui Medical University,Hefei 230022) |
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Abstract: | The ultrasonic features of 35 cases with nutcracker phenomenon(NCP) were analyzed.Left renal vein stricture and dilatation of prestricture were presented in all 35 cases.The ratio of the antero-posterior diameter of the dilatation portion(b) to that of the strictured portion(a) recumbent position was more than 2 times,after posteriorly extending the spinal cord b / a was more than 4 times,the maximum of b / a was 9 times.Blood flow of the proximal left renal vein was increased,PW showed high speed turbulent flow spectrum.Color Doppler ultrasound is the best method for clinical diagnosis of NCP. |
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Keywords: | color Doppler ultrasonography nutcracker phenomenon left renal vein entrapment syndrome |
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