青少年胡桃夹综合征随访监测体系的构建

目的提高青少年胡桃夹综合征的诊治水平。方法通过构建心理情感支持体系、门诊定期复查体系、电脑病情管理体系、电话网络即时答疑体系、家庭教育培训体系等5大随访体系对25例青少年胡桃夹综合征患者进行随访观察。结果25例患者通过上述5大系统随访监测体系均坚持随访至今无1例失访。随访1个月至6年,平均随访3年8个月。25例保守治疗者中,15例活动后尿红细胞转阴,7例患者休息时尿红细胞转阴,活动后尿红细胞(+～++),较前减轻,3例患者血尿无减轻,且出现乏力、腰酸等主诉,其中1例支架植入术,术后症状消失,尿常规检查正常,多普勒超声均提示左肾静脉无明显受压。结论通过上述随访监测体系对青少年胡桃夹综合征的随访观察,证明该监测随访体系是科学、有效的。

Objective To evaluate the diagnosis and treatment procedures for Teenagers Nutcracker syndrome. Methods 25 cases of left renal vein entrapment syndrome were retrospectively analyzed. Results 22 cases began to improve and 3 patients were aggravated .We performed stent placement across the left renal vein in one case. Clinical symptoms were improved and urine test was normal after operation. Conclusion For the Teenagers Nutcracker sndrome follow-up system is effective and science.