中国实用外科杂志

中国实用外科杂志 ›› 2008, Vol. 28 ›› Issue (10): 869-871.

• 论著 • 上一篇    下一篇

腘动脉陷迫综合征的诊断和治疗

姜宏舟a，丁奎a，辛世杰a，李璇a，张健a，黄砚玲b，王传江a，段志泉a   

  1. 中国医科大学附属第一医院a普通外科教研室血管甲状腺外科b放射线科，辽宁沈阳110001
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2008-10-01 发布日期:2008-10-01

  • Received:1900-01-01 Revised:1900-01-01 Online:2008-10-01 Published:2008-10-01

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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。

关键词: 腘动脉陷迫综合征, 血管成像术

Abstract:

Diagnosis and treatment of popliteal artery entrapment syndromeJIANG Hongzhou*,DING Kui,XIN Shijie,et al.*Division of Vascular and Thyroid Surgery,Department of General Surgery,the First Affiliated Hospital of China Medical University,Shenyang 110001,China. Corresponding author:XIN Shijie,Email:xinshijie1963@yahoo.com.cn AbstractObjectiveTo review the cases of popliteal artery entrapment syndrome (PAES) and explore the optimal diagnostic and therapeutic strategy.MethodsThe 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.ResultsAll 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.ConclusionCTA is a suitable diagnostic method for PAES.Surgical procedure is effective and is determined by symptoms,degree of popliteal arterial stenosis and thrombosis.

Key words: popliteal artery, entrapment