精索静脉曲张与左肾静脉压迫综合征相互关系的研究  

Exploring the relationship between left renal vein entrapment syndrome and varicocele

作　　者：司徒杰[1] 邱剑光[1] 蒲小勇[1] 袁小旭[1] 湛海伦[1] 

机构地区：[1]中山大学附属第三医院泌尿外科,广州510630

出　　处：《中华腔镜泌尿外科杂志（电子版）》2010年第5期59-61,共3页Chinese Journal of Endourology(Electronic Edition)

基　　金：广东省医学科学技术研究基金(B2010094)

摘　　要：目的探讨左肾静脉压迫综合征与精索静脉曲张的关系。方法选择经彩色多普勒超声测量精索静脉内径确诊的精索静脉曲张患者;再以仰卧位彩色多普勒超声测量左侧扩张部肾静脉内径和肠系膜上动脉和腹主动脉之间狭窄部肾静脉内径,确诊左肾静脉压迫综合征。确诊的精索静脉曲张患者119例,确诊左肾静脉压迫综合征15例,对比分析单侧及双侧精索静脉曲张患者左肾静脉狭窄情况。结果肾静脉压迫综合征在单纯左侧精索静脉曲张者与双侧曲张患者间的发病有显著差异(P<0.05),且在左侧精索静脉曲张者多见。在单纯左侧精索静脉曲张患者中,精索静脉曲张分级3级的患者合并出现左肾静脉压迫综合征与1级和2级精索静脉曲张患者的发病有明显差异(P<0.05)。结论左肾静脉压迫综合征是左侧精索静脉曲张的原因。单纯重度左侧精索静脉患者应推荐行肾静脉彩超检查,以判断是否有左肾静脉压迫综合征的存在。Objective To discuss the relationship of left renal vein entrapment syndrome（LRVES）and varicocele. Methods The Color Doppler Flow Imaging（CDFI） was used to diagnosed the LRVES and varieocele. 119 patients were diagnosed varicoeele. And 15 of them were also diagnosed LRVES. The data was analysed to find the relation between LRVES and the varicocele patients. Reaulta LRVES mostly occur in left varicoeele patients, more than the both side varieocele patients. More severe varicocele patients（grade 3）, the greater chance to occur LRVES. Conclusions Left renal vein entrapment is one of the most important factors in left varicocele.CDFI should he used on severe left varicocele patients to find out if LRVES combined with.

关 键 词：彩色多普勒 精索静脉曲张 左肾静脉压迫综合征 

分 类 号：R697.2[医药卫生—泌尿科学]