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腘动脉陷迫综合征的诊治 被引量:2

The management for popliteal artery entrapment syndrome
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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
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参考文献5

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同被引文献14

  • 1Stuart TP. Note on a variation in the course of the popliteal artery. J Anat Physiol, 1879,13 : 162-165.
  • 2Delaney TA, Gonsalez LL. Occlusion of popliteal artery due to muscle entrapment. Surgery, 1971,69:97-101.
  • 3Rich NM, Collins GJ Jr, McDonald PT, et al. Popliteal vascular entrapment. Its increasing interest. Arch Snrg, 1979, 114 : 1377- 1384.
  • 4Servello M. Clinical syndrome of anomalous position of the popliteal artery. Differentiation from juvenile arteriopathy. Circulation, 1962,26:885-890.
  • 5Turnipseed WD. Poplitea| entrapment syndrome. J Vasc Surg, 2001,35:910-915.
  • 6Papaioannou S, Tsitouridis K, Giataganas G, et al. Evaluation of popliteal arteries with CT angiography in popliteal artery entrapment syndrome. Hippokratia,2009,13:32-37.
  • 7Goh BK,Tay KH,Tan SG. Diagnosis and surgical management of popliteal artery entrapment syndrome. ANZ J Surg, 2005,75 : 869- 873.
  • 8Lambert AW, Wilkins DC. Popliteal artery entrapment syndrome. Br J Surg, 1999,86 : 1365-1370.
  • 9Levien LJ,Veller MG. Popliteal artery entrapment syndrome:more common than previously recognized. J Vasc Surg, 1999,30 : 587- 598.
  • 10姜宏舟,丁奎,辛世杰,李璇,张健,黄砚玲,王传江,段志泉.腘动脉陷迫综合征的诊断和治疗[J].中国实用外科杂志,2008,28(10):869-871. 被引量:6

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