Nutcracker syndrome: Diagnosis with Doppler US

被引:145
作者
Kim, SH
Cho, SW
Kim, HD
Chung, JW
Park, JH
Han, MC
机构
[1] Department of Radiology, Seoul National University, College of Medicine, Chongno-Gu, Seoul 110-744
关键词
hematuria; renal veins; stenosis or obstruction; US;
D O I
10.1148/radiology.198.1.8539413
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
PURPOSE: To assess diagnosis of the nutcracker (renal vein entrapment) syndrome with Doppler ultrasonography (US). MATERIALS AND METHODS: Doppler US findings in 16 patients with the nutcracker syndrome and in 18 healthy control subjects were compared. The anteroposterior (AP) diameter and peak velocity (PV) were measured at the hilar portion of the left renal vein (LRV) and at the LRV between the aorta and the superior mesenteric artery. RESULTS: The mean AP diameters of the LRV were 10.0 mm +/- 2.0 (standard deviation) and 1.9 mm +/- 1.0 (ratio, 5.0 +/- 2.3) in the patient group and 7.2 mm +/- 1.8 and 2.3 mm +/- 0.6 (ratio, 3.3 +/- 1.1) in the control group. The PVs at the two locations were 14.2 cm/sec +/- 2.5 and 110.7 cm/sec +/- 35.8 (ratio, 7.9 +/- 2.7) in the patient group and 18.6 cm/sec +/- 3.7 and 50.9 cm/sec +/- 27.9 (ratio, 2.8 +/- 1.5) in the control group. Differences in AF diameter and PV were statistically significant between the two groups (P < .01). CONCLUSION: Doppler US of the LRV with measurement of the AP diameter and PV may be useful in diagnosing the nutcracker syndrome.
引用
收藏
页码:93 / 97
页数:5
相关论文
共 25 条
[1]   EVALUATION OF HEMATURIA [J].
ABUELO, JG .
UROLOGY, 1983, 21 (03) :215-225
[2]   MESOAORTIC COMPRESSION OF THE LEFT RENAL-VEIN (THE SO-CALLED NUTCRACKER SYNDROME) - REPAIR BY A NEW STENTING PROCEDURE [J].
BARNES, RW ;
FLEISHER, HL ;
REDMAN, JF ;
SMITH, JW ;
HARSHFIELD, DL ;
FERRIS, EJ .
JOURNAL OF VASCULAR SURGERY, 1988, 8 (04) :415-421
[3]  
BECKMANN CF, 1982, RADIOLOGY, V143, P649, DOI 10.1148/radiology.143.3.7079491
[4]   LEFT RENAL-VEIN TO INFERIOR VENA-CAVA PRESSURE RELATIONSHIP IN HUMANS [J].
BEINART, C ;
SNIDERMAN, KW ;
TAMURA, S ;
VAUGHAN, ED ;
SOS, TA ;
WHITE, RI .
JOURNAL OF UROLOGY, 1982, 127 (06) :1070-1071
[5]   LEFT RENAL-VEIN HYPERTENSION - A CAUSE OF OCCULT HEMATURIA [J].
BEINART, C ;
SNIDERMAN, KW ;
SADDEKNI, S ;
WEINER, M ;
VAUGHAN, ED ;
SOS, TA .
RADIOLOGY, 1982, 145 (03) :647-650
[6]  
BIRCH DF, 1979, LANCET, V2, P845
[7]   DISTENDED LEFT RENAL-VEIN - CT-SONOGRAPHIC NORMAL VARIANT [J].
BUSCHI, AJ ;
HARRISON, RB ;
BRENBRIDGE, ANAG ;
WILLIAMSON, BRJ ;
GENTRY, RR ;
COLE, R .
AMERICAN JOURNAL OF ROENTGENOLOGY, 1980, 135 (02) :339-342
[8]   NEPHROSCOPY IN CHRONIC UNILATERAL HEMATURIA [J].
GITTES, RF ;
VARADY, S .
JOURNAL OF UROLOGY, 1981, 126 (03) :297-300
[9]   ABNORMALITIES OF RENAL VENOUS SYSTEM AND UNEXPLAINED RENAL HEMATURIA [J].
HAYASHI, M ;
KUME, T ;
NIHIRA, H .
JOURNAL OF UROLOGY, 1980, 124 (01) :12-16
[10]   THE NUTCRACKER SYNDROME - NEW ASPECTS OF PATHOPHYSIOLOGY, DIAGNOSIS AND TREATMENT [J].
HOHENFELLNER, M ;
STEINBACH, F ;
SCHULTZLAMPEL, D ;
SCHANTZEN, W ;
WALTER, K ;
CRAMER, BM ;
THUROFF, JW ;
HOHENFELLNER, R .
JOURNAL OF UROLOGY, 1991, 146 (03) :685-688