摘要
目的:探讨腘动脉陷迫综合征(PAES)的诊断及治疗方法。方法:2006年4月-2008年7月,就诊于我院的4例PAES患者,其中3例腘动脉狭窄,1例闭塞。3例采取传统手术,1例EVR治疗。术后6~12个月及每年进行随访,观察患者症状及腘动脉、侧支循环情况。结果:腘动脉狭窄2例行腘动脉松解术后6个月下肢活动正常,腘动脉血流通畅;腘动脉闭塞1例行腘动脉松解并切开取栓术后5d腘动脉再闭塞。EVR治疗1例术后6个月腘动脉再闭塞,下肢血供靠侧支循环代偿。结论:传统手术效果优于EVR治疗。
Objective: To study the diagnosis and treatment of popliteal artery entrapment syndrome ( PAES ). Methods: Four PAES patients ( 3 with popliteal artery stenosis and 1 with occlusion ) were treated in our hospital from April 2006 to July 2008. Of them, 3 underwent traditional operation, and 1 endovascular repair ( EVR ). The patients were followed up for 6-12 months to observe their postoperative symptoms and blood circulation of popliteal artery. Results: Popliteal artery stricture occurred in 2 patients, and became normal 6 months after mobilization. Thrombectomy was performed for 1 patient with popliteal artery occlusion, which relapsed 5 days after mobilization. EVR was performed for 1 patient with popliteal artery occlusion, which also recurred 6 months after mobilization. Conclusion: Traditional operation is advantageous over EVR for PAES patients.
出处
《军医进修学院学报》
CAS
2009年第3期281-283,共3页
Academic Journal of Pla Postgraduate Medical School
关键词
腘动脉
陷迫综合征
诊断
治疗
popliteal artery entrapment syndrome
diagnosis
therapy