腘动脉陷迫综合征外科治疗疗效分析_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

段琛 ^1,2 , 吴忠隐 ¹ , 刘小平 ¹ , 贾鑫 ¹ ,  郭伟 ¹

1. ;
2. ;

Corresponding author：

郭伟, Email: pal301dml@vip.sina.com

Keywords：

腘动脉陷迫综合征; 腘动脉狭窄; 踝肱指数; Heidelberg分型; 外科治疗

DOI：

10.7507/1002-1892.20150113

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

目的探讨外科治疗腘动脉陷迫综合征（popliteal artery entrapment syndrome，PAES）的疗效。方法回顾分析2006年4月－2014年4月收治的14例PAES患者临床资料，其中男13例，女1例；年龄20～54岁，平均35.5岁。左侧4例，右侧9例，双侧1例。10条患肢足背动脉搏动消失，5条患肢足背动脉搏动减弱；踝肱指数0.51±0.07。病程2周～12个月，平均5.2个月。根据PAES不同诊断及分型对9例患者行腘动脉周围异常组织松解术及腔内治疗术，余5例腘动脉功能性陷迫行保守治疗。结果 1例行肌切除、闭塞动脉取栓动脉成形术者，术后5 d腘动脉再次闭塞，行插管溶栓术后再通。其余患者经手术治疗及保守治疗后踝肱指数上升至0.93±0.22，与术前比较差异有统计学意义（t=5.634，P=0.000），跛行症状均缓解。14例均获随访，随访时间5～81个月，平均29.7个月。8例行腘动脉松解术后下肢活动正常，腘动脉血流通畅；1例介入下行球囊扩张术后11个月腘动脉再狭窄，给予抗血小板、抗凝保守治疗后症状未见反复。5例保守治疗患者治疗后下肢活动正常，腘动脉血流通畅。结论 PAES患者早期确诊并及时外科干预能获较好近、中期临床疗效。

Citation： 段琛, 吴忠隐, 刘小平, 贾鑫, 郭伟. 腘动脉陷迫综合征外科治疗疗效分析. Chinese Journal of Reparative and Reconstructive Surgery, 2015, 29(4): 524-526. doi: 10.7507/1002-1892.20150113 Copy

1.	Schurmann G, Mattfeldt T, Hofmann W, et al. The popliteal artery entrapment syndrome:presentation, morphology and surgical treatment of 13 cases. Eur J Vasc Surg,1990, 4(3):223-231.
2.	Ohara N, Miyata T, Oshiro H, et al. Surgical treatment for popliteal artery entrapment syndrome. Cardiovasc Surg, 2001, 9(2):141-144.
3.	Soobrah R,Nawaz A,Hussain T. Popliteal artery entrapment syndrome presenting with acute limb ischaemia:a case report. Case Rep Med, 2010:281925.
4.	Hoelting T, Schuermann G, Allenberg JR. Entrapment of the popliteal artery and its surgical management in a 20-year period. Br J Surg, 1997, 84(3):338-341.
5.	Gourgiotis S, Aggelakas J, Salemis N, et al. Diagnosis and surgical approach of popliteal artery entrapment syndrome:a retrospective study. Vasc Health Risk Manag, 2008, 4(1):83-88.
6.	Eugster T, Marti R, Gurke L, et al. Ten years after arterial bypass surgery for claudication:venous bypass is the primary procedure for TASC C and D lesions. World J Surg, 2011, 35(10):2328-2331.
7.	Fowl RJ, Kempezinsk RF. Popliteal artery entrapment//Rutherford RB, eds. Rutherford Vascular Surgery.5 th ed. Philadelphia:Saunders company, 2000:1087-1093.
8.	Cvetanovski MV, Jovev S, Cvetanovska M, et al. Femoropopliteal bypass vs percutaneous transluminal angioplasty and stenting in treatment of peripheral artery diseases of infrainquinal seg-ment-short-term results. Prilozi, 2009, 30(1):105-118.
9.	Smolock CJ, Anaya-Ayala JE, Kaufman Y, et al. Current efficacy of open and endovascular interventions for advanced superficial femoral artery occlusive disease.J Vasc Surg, 2013, 58(5):1267-1275.e1-2.
10.	Tumipseed WD. Popliteal entrapment syndrome. J Vasc Surg, 2002, 35(5):910-915.

1. Schurmann G, Mattfeldt T, Hofmann W, et al. The popliteal artery entrapment syndrome:presentation, morphology and surgical treatment of 13 cases. Eur J Vasc Surg,1990, 4(3):223-231.
2. Ohara N, Miyata T, Oshiro H, et al. Surgical treatment for popliteal artery entrapment syndrome. Cardiovasc Surg, 2001, 9(2):141-144.
3. Soobrah R,Nawaz A,Hussain T. Popliteal artery entrapment syndrome presenting with acute limb ischaemia:a case report. Case Rep Med, 2010:281925.
4. Hoelting T, Schuermann G, Allenberg JR. Entrapment of the popliteal artery and its surgical management in a 20-year period. Br J Surg, 1997, 84(3):338-341.
5. Gourgiotis S, Aggelakas J, Salemis N, et al. Diagnosis and surgical approach of popliteal artery entrapment syndrome:a retrospective study. Vasc Health Risk Manag, 2008, 4(1):83-88.
6. Eugster T, Marti R, Gurke L, et al. Ten years after arterial bypass surgery for claudication:venous bypass is the primary procedure for TASC C and D lesions. World J Surg, 2011, 35(10):2328-2331.
7. Fowl RJ, Kempezinsk RF. Popliteal artery entrapment//Rutherford RB, eds. Rutherford Vascular Surgery.5 th ed. Philadelphia:Saunders company, 2000:1087-1093.
8. Cvetanovski MV, Jovev S, Cvetanovska M, et al. Femoropopliteal bypass vs percutaneous transluminal angioplasty and stenting in treatment of peripheral artery diseases of infrainquinal seg-ment-short-term results. Prilozi, 2009, 30(1):105-118.
9. Smolock CJ, Anaya-Ayala JE, Kaufman Y, et al. Current efficacy of open and endovascular interventions for advanced superficial femoral artery occlusive disease.J Vasc Surg, 2013, 58(5):1267-1275.e1-2.
10. Tumipseed WD. Popliteal entrapment syndrome. J Vasc Surg, 2002, 35(5):910-915.

Previous Article
侧颌颈皮瓣修复颧颞部恶性肿瘤术后软组织缺损
Next Article
关节镜治疗肩峰下滑囊米粒体形成伴肩袖损伤一例

Chinese Journal of Reparative and Reconstructive Surgery

腘动脉陷迫综合征外科治疗疗效分析

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content