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左肾静脉下移术治疗左肾静脉胡桃夹综合征
引用本文:沈周俊,陈善闻,金晓东,史时芳. 左肾静脉下移术治疗左肾静脉胡桃夹综合征[J]. 浙江大学学报(医学版), 2004, 33(3): 261-263
作者姓名:沈周俊  陈善闻  金晓东  史时芳
作者单位:浙江大学医学院,附属第一医院泌尿外科,浙江,杭州,310003
摘    要:目的:改进治疗左肾静脉胡桃夹综合征的手术方法.方法:2例左肾静脉胡桃夹综合征患者采用左肾静脉下移与下腔静脉端侧吻合术.结果:术中肾动脉阻断时间分别为14 min和13 min.肉眼血尿消失时间分别在术后第1 d、第4 d,镜下血尿消失时间分别在术后第5 d、第7 d.随访3个月,症状无复发.结论:左肾静脉下移与下腔静脉端侧吻合术治疗左肾静脉胡桃夹综合征,方法较安全,效果好.

关 键 词:左肾静脉胡桃夹综合征/外科学
文章编号:1008-9292(2004)03-0261-03
修稿时间:2003-11-12

Left renal vein transposition in treatment of the left renal vein nutcracker syndrome
SHEN Zhou-jun,CHEN Shan-wen,JIN Xiao-dong,et al. Left renal vein transposition in treatment of the left renal vein nutcracker syndrome[J]. Journal of Zhejiang University. Medical sciences, 2004, 33(3): 261-263
Authors:SHEN Zhou-jun  CHEN Shan-wen  JIN Xiao-dong  et al
Affiliation:Department of Urology, First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou 310003, China.
Abstract:Objective: To improve the operative procedure of the left renal vein nutcracker syndrome. Methods: Two patients underwent transposition of the left renal vein in the treatment of the left renal vein nutcracker syndrome. Results: Renal ischemia, due to clamping of the renal artery, lasted 14 minutes and 13 minutes, respectively. The gross hematuria disappeared 1 day and 4 days respectively after surgery, and microhematuria ceased spontaneously 5 days and 7 days respectively after surgery. Transposition of the left renal vein effectively relieved the symptoms related to the left renal vein nutcracker syndrome. The patients had no recurrence of symptoms following up during 3 months. Conclusion: Transposition of the left renal vein is a safe and effective surgical approach in the treatment of the left renal vein nutcracker syndrome.
Keywords:Nutcracker syndrome/surg
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