作为一个无辜的旁观者:在不寻常的血管压缩综合征中的表现和管理
Harkirat Talwar1, Vikas K Panwar2, Tushar A Narain3
1Urology, Max Super Speciality Hospital, Noida, IND.
Cureus
|July 25, 2025
概括
尿道压缩的罕见病例由腹腔血管,如下层介质静脉,丸静脉,卵巢静脉,常见阴道动脉和IVC支流的尿道压缩,可以导致水尿管缩. 诊断和管理对于预防并发症至关重要.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 血管外科 血管外科
- 放射学 放射学是一门学科.
背景情况:
- 腹腔皮层血管压缩综合征涉及血管结构引起或经历周围内脏的压缩.
- 由血管结构造成的尿道压缩,不包括回性尿道和尿管盆结口阻塞 (UPJO),是不常见的.
- 这项研究侧重于罕见的非UPJO血管异常导致的外部尿道压缩.
研究的目的:
- 报告五个罕见的尿路压缩病例,其原因是异常的血管结构.
- 突出这些罕见疾病的诊断和管理策略.
主要方法:
- 从2019年1月到2020年3月的水尿基缩病例的回顾性审查.
- 确定涉及"血管压缩"",尿道压缩"和"血管交叉"的病例.
- 排除UPJO病例,以隔离其他血管结构造成的外部尿道压缩的5例.
主要成果:
- 案例一:26岁男性下半腹静脉对尿道进行压缩.
- 案例2:左丸静脉压缩了27岁男性的上部尿道.
- 案例3:右卵巢静脉导致38岁女性上部尿道扩张.
- 案例4:在19岁的女性中,由常见阴动脉进行双边中尿路压缩.
- 案例5:26岁男性下腔静脉 (IVC) 支流导致上尿道狭窄.
结论:
- 通过卵巢/丸静脉,常见阴动脉或IVC支流对尿道进行血管压缩,可能导致尿道缩,结石和肌炎.
- 用动脉,静脉和分泌相进行CT尿图对于准确诊断至关重要.
- 管理涉及逆行皮叶,支架和微创手术,如尿路切除或尿路解析.
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