超声影像技术诊断胡桃夹综合征临床价值探究.docVIP

超声影像技术诊断胡桃夹综合征临床价值探究 　　【摘要】 目的：通过分析胡桃夹综合征患者左肾静脉超声影像特征和规律，探讨超声影像技术诊断胡桃夹综合征的价值。方法：选取笔者所在医院收治的29例胡桃夹综合征患者为观察组，30例健康体检的志愿者为对照组，采用超声影像技术检查两组患者近肾段及狭窄段左肾静脉内径及血液峰值流速等，并计算超声影像技术诊断胡桃夹综合征的灵敏度和特异性。结果：观察组患者肠系膜上动脉及腹主动脉间夹角、左肾静脉狭窄段内径、最窄处内径（D2）和扩张部最宽处内径（D1）的比值（D2/D1）均明显偏小，差异均有统计学意义（P0.05）；超声诊断胡桃夹综合征的灵敏度为82.76%（24/29），特异性为80.00%（24/30）。结论：通过超声影像技术检查左肾静脉内径和血流速度等指标能够快速、准确诊断胡桃夹综合征，值得临床推广使用。 　　【关键词】 超声影像； 诊断； 胡桃夹综合征； 临床价值 　　doi：10.14033/j.cnki.cfmr.2017.28.021 文献标识码 B 文章编号 1674-6805（2017）28-0042-02 　　【Abstract】 Objective：To investigate the value of ultrasonography in the diagnosis of nutcracker syndrome.Method：29 cases of nutcracker syndrome patients in the author’s hospital were selected as the observation group，30 healthy volunteers were selected as the control group，the ultrasound imaging examination was used to examine the inner diameter of the left renal vein and the peak blood flow rate in the renal segment and the narrow segment of two groups，and the sensitivity and specific were calculate.Result：Compared with the control group，the observation group of patients with superior mesenteric artery and abdominal aorta，the angle between the left renal vein，the narrowest diameter （D2） and the expansion of the width diameter ratio （D1）（D2/D1） were significantly smaller，the differences were statistically significant （P0.05）.The sensitivity of ultrasound in diagnosis of nutcracker syndrome was 82.76%（24/29），the specificity was 80%（24/30）.Conclusion：The left ventricular diameter and blood flow velocity can be quickly and accurately diagnosed by ultrasonography，which is worthy of clinical application. 　　【Key words】 Ultrasonography； Diagnosis； Nutcracker syndrome； Clinical value 　　First-author’s address：Qujing Second People’s Hospital， Qujing 655000，China 　　胡桃?A综合征也称左肾静脉压迫综合征，是由于先天或后天形体变化等原因使左肾静脉汇入下腔静脉的行程中，左肾静脉在腹主动脉与肠系膜上动脉夹角内受挤压而引起的以血尿和（或）直立性蛋白尿为主要症状的临床综合征[1-2]。该病对患者的生活质量造成严重影响，应当引起关注和重视[3]。该病的影像学诊断主要有血管造影、超声、核磁共振和CT等方法，然而，CT和核磁共振价格高昂，而且CT对人体有较强的辐射[4-5]。超声检查简单易行，可以测量左肾静脉的狭窄情况。为了探讨超声影像技术