摘要
目的 探索采用彩色多普勒B超对胡桃夹现象的诊断特点。方法 33例病人作观察组 ,2 3例为发作性血尿 ,9例为体位性蛋白尿 ,1例为精索静脉曲张症 ;另有 30例同龄健康人作对照组。由美国阿帕奇RX 4 0 0型彩色多普勒超声诊断仪检测。结果 观察组 33例病例的彩色多普勒B超检查 ,左肾静脉狭窄前扩张部位近端内径较狭窄部位宽 2倍以上 ,直立位比平卧位时更为明显。肾动脉测量结果 :左侧肾动脉内径6 90± 0 5 2mm比右侧肾动脉内径 7 15± 0 6 4mm狭窄 ,差异有显著意义 (t =2 3,P <0 0 5 )。结论 对不明原因的血尿、体位性蛋白尿 ,采用彩色多普勒B超检测左肾静脉情况 ,直立位比平卧位时更能提高诊断准确性。
Objective To explore the diagnostic characteristics of color Doppler ultrasound in diagnosis of untcracker phenomenon.Methods In the observation group(33 cases),23 caes were paroxysmal hematuria,9 cases were positional albuminuria and one was varicocele.The control group was consisted of 30 cases.All patients examined using Apachi RX 400 color Doppler ultrasound diagnosis instrument produced in USA.Results In the observation group(33 cases),all were examined by color Doppler ultrasound.The internal diameter of dilated proximal portion of left renal vein was two times more than the stricture position.The vertical position was more obvious than the reclining position.The measurement results of renal artery:The internal diameter of left renal artery(6.90±0.52mm) was narrower than right renal artery(7.15±0.64mm).The differences were significant(t=2.3,P<0.05).Conclusion The detection of left renal veins by color Doppler B ultrasound for unexplained hematuria and positional albuminuria could improve the diagnostic accuracy.The vertical position is more obvious than the reclining position.
出处
《中国基层医药》
CAS
2004年第3期284-285,共2页
Chinese Journal of Primary Medicine and Pharmacy
关键词
彩色多普勒B超
胡桃夹现象
诊断
左肾静脉受压综合征
Nutcracker phenomenon Color Doppler ultrasound Left renal rein Hematuria Vertical albuminuria
