Treatment of nutcracker syndrome with spermatic vein ligation and iliac vein anastomosis:Case report of three cases  

作　　者：Xiao-Yong Gong Wei Zheng Hong Du Yi Lei Ya-Hui Xue Chao-Hui Xue Xian-Chao An Gang Zheng 

机构地区：[1]Department of Urology Surgery,Second Affiliated Hospital,Shaanxi College of Traditional Chinese Medicine [2]B Ultrasonic Rooms,Second Affiliated Hospital,Shaanxi College of Traditional Chinese Medicine [3]Department of Vascular Surgery,Second Affiliated Hospital,Shaanxi College of Traditional Chinese Medicine

出　　处：《Asian Pacific Journal of Tropical Medicine》2012年第11期923-924,共2页亚太热带医药杂志（英文版）

摘　　要：Three patients with nutcracker syndrome(NCS) were enrolled in the study.Their clinical symptoms mainly included proteinuria and serious varicocele.Color Doppler ultrasound and computed tomography showed that the patients had constricted abdominal aortas,reduced superior mesenteric artery angles,and thinned left renal veins.Patients then underwent left spermatic vein ligation and iliac vein anastomosis.They were checked tliree months after their operation,and results showed that their sperms were improved and their proteinuria disappeared. The color Doppler ultrasound showed new cycle pathways.NCS clinical manifestations are complicated,and need combination diagnosis of symptoms and auxiliary examination to detennine surgical indications.Ligation of spermatic vein and vein anastomosis can be used to treat NCS.Three patients with nutcracker syndrome(NCS) were enrolled in the study.Their clinical symptoms mainly included proteinuria and serious varicocele.Color Doppler ultrasound and computed tomography showed that the patients had constricted abdominal aortas,reduced superior mesenteric artery angles,and thinned left renal veins.Patients then underwent left spermatic vein ligation and iliac vein anastomosis.They were checked tliree months after their operation,and results showed that their sperms were improved and their proteinuria disappeared. The color Doppler ultrasound showed new cycle pathways.NCS clinical manifestations are complicated,and need combination diagnosis of symptoms and auxiliary examination to detennine surgical indications.Ligation of spermatic vein and vein anastomosis can be used to treat NCS.

关 键 词：Diagnosis NUTCRACKER SYNDROME Spermatic VEIN TREATMENT VEIN ANASTOMOSIS 

分 类 号：R692.9[医药卫生—泌尿科学]