胭血管陷迫综合征的诊断与治疗  

Popliteal vascular entrapment syndrome： a single center experience

作　　者：王琼[1] 吴学君[1] 金星[1] 周华[1] 高培显[1] 王默[1] 董典宁[1] Wang Qiong;Wu Xuejun;Jin Xing;Zhou Hua;Gao Peixian;Wang Mo;Dong Dianning(Department of Vascular Surgery,Provincial Hospital Affiliated to Shandong University,Jinan 250021,China)

机构地区：[1]山东大学附属省立医院血管外科,济南250021

出　　处：《中华普通外科杂志》2018年第8期669-671,共3页Chinese Journal of General Surgery

摘　　要：目的探讨胭血管陷迫综合征（popliteal vascular entrapment syndrome，PVES）的诊断与治疗方案的选择。方法分析总结2004年7月至2016年7月山东大学附属省立医院血管外科收治的37例（44条患肢）PVES患者的临床资料，男28例，女9例，年龄7-74岁，术前行超声多普勒、CTA、MRA或DSA检查，对其中38条患肢施行单纯肌束松解或辅以血栓内膜剥除、自体静脉补片或间置术、大隐静脉旁路术等手术治疗，术后随访评估下肢血运情况。结果1例V型PVES围手术期疑死于肺动脉栓塞；37例PVES患者术后踝肱指数（0．87±0．23）较术前（0．54±0．31）显著提高。术后30例（35条肢体）获得随访，随访时间1个月-12年，中位随访时间43．8个月，所有手术患者间歇性跛行症状均较术前减轻。结论胴血管陷迫综合征是非动脉硬化性下肢动脉慢性缺血的重要病因，需讲行早期外科治疗．Objective To evaluate the diagnosis and treatment of 37 cases of popliteal vascular entrapment syndrome （PVES）. Methods The clinical data of 37 PVESA cases （44 limbs） from July 2004 to July 2016 was retrospectively analyzed. There were 28 men and 9 women, age ranging from 7 to 74 years. They all underwent B-us, CTA, MRA or DSA examination before the operation. Surgical procedures performed on 38 limbs included musculo-tendinous division, popliteal-popliteal interposition, femoralpopliteal bypass. Result One patient died of PE one day after operation. The ankle brachial index （ABI） increased from 0. 54 ＋ 0. 31 to 0. 87 ＋ 0. 23 after operation （ P 〈 0. 01 ）. 30 cases were followed-up with a mean followup time of 43.8 months and intermittent claudication were relieved in all cases. Conclusions PVES is an extremely important cause of non-arteriosclerotic lower extremity arterial chronic isehemia which need early, active and appropriate surgical intervention.

关 键 词：间歇性跛行 缺血 血管外科手术 

分 类 号：R654.4[医药卫生—外科学]