腘血管陷迫综合征的诊断与外科治疗  

Diagnosis and Surgical Treatment of Popliteal Vascular Entrapment Syndrome

作　　者：王茂华[1] 刘振川[2] 孙岩[1] 吴学君[1] 金星[1] 张精勇[1] 

机构地区：[1]山东大学附属省立医院血管外科,济南250021 [2]山东大学医学院,济南250012

出　　处：《临床误诊误治》2014年第2期75-78,共4页Clinical Misdiagnosis & Mistherapy

基　　金：山东省自然科学基金(ZR2012HM063);高等学校博士学科点专项科研基金(20090131110059)

摘　　要：目的总结腘血管陷迫综合征(popliteal vascular entrapmentsyndrome,PVES)的诊断及外科治疗经验。方法对我院2004年8月—2012年6月收治的PVES 14例(16条患肢)的临床资料进行回顾性分析。结果 14例均有间歇性跛行病史,术前均确诊。除双下肢受累1例1条患肢(Ⅲ型)拒绝行手术治疗外,余15条患肢均进行了周围组织松解和(或)腘动脉探查术,其中8条患肢因动脉闭塞或动脉瘤同时施行了自体大隐静脉移植术。术后平均随访17个月,除1例术后死于肺栓塞,1例(1条患肢)术后腘动脉发生血栓仍有间歇性跛行外,余患者治疗效果均较满意。结论 PVES早期确诊和及时正确外科治疗预后较好,并可减少青年周围血管缺血患者截肢率。Objective To summarize the diagnosis and surgical treatment of popliteal vascular entrapment syndrome （PVES）. Methods Clinical date of 14 patients （ 16 limbs） with PVES during August 2004 and June 2012 were respectively analyzed. Results The 14 patients had a medical history of intermittent claudication, and had been diagnosed as having PVES before the operation. One limb （type Ⅲ ） of a patient with bilateral injuries did not undergo surgical procedure, and the other 15 limbs underwent peripheric tissue release and exploration of popliteal artery, among which 8 limbs underwent a bypass graft in autologous great saphenous vein because of arterial occlusion or aneurysm. During a mean follow-up of 17 months, one patient died of postoperative pulmonary embolism, one patient （ one limb） had postoperative popliteal artery thrombosis with intermittent claudication, and the other patients were cured with satisfactory results. Conclusion Early diagnosis and timely and surgical treatment can achieve good prognosis of popliteal vascular entrapment syndrome, and bring down the amputation rate of young patients with peripheral vascular insufficiency.

关 键 词：腘血管陷迫综合征 诊断 外科手术 

分 类 号：R654.4[医药卫生—外科学]