摘要
目的总结腘动脉陷迫综合征(PAES)的诊断治疗经验,探讨临床最佳诊断治疗方案。方法回顾性分析中国医科大学附属第一医院2000年1月至2008年1月诊治的8例PAES病例的临床表现、诊断方法、治疗方案和随访结果,总结诊断和治疗经验。结果8例PAES病人均应用CT血管成像术(CTA)检查得到早期诊断,并经手术病理确诊。均行肌肉分离术和(或)自体静脉移植动脉重建术治疗,手术治疗均获得成功。术后随访效果均良好。结论CTA检查是明确PAES诊断的较好方法。手术是治疗PAES的有效方法。病人的症状、腘动脉狭窄程度以及血栓形成等因素是决定手术治疗方案的要点。
Objective To review the cases of popliteal artery entrapment syndrome （PAES） and explore the optimal diagnostic and therapeutic strategy. Methods The clinical manifestation, diagnostic and therapeutic methods and follow-up results of 8 cases of PAES admitted from January 2000 to January 2008 at First Hospital of China Medical University were analyzed retrospectively. Results All the 8 cases underwent CT angiography （CTA） for early diagnosis, which was confirmed by pathology. The 8 cases underwent musculotendinous dissociation and/or autogenous vein graft arterial reconstruction. The surgical procedures were all successful and the follow-up results were all satisfactory. Conclusion CTA is a suitable diagnostic method for PAES. Surgical procedure is effective and is determined by symptoms, degree of popliteal arterial stenosis and thrombosis.
出处
《中国实用外科杂志》
CSCD
北大核心
2008年第10期869-871,共3页
Chinese Journal of Practical Surgery
