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Diagnosis and Surgical Treatment of Popliteal Vascular Entrapment Syndrome
Author(s): WANG Mao-hua, LIU Zhen-chuan, SUN Yan, WU Xue-jun, JIN Xing, ZHANG Jing-yong
Pages: 75-
78
Year: 2014
Issue:
2
Journal: Clinical Misdiagnosis & Mistherapy
Keyword: Popliteal vascular entrapment syndrome; Diagnosis; Surgical procedure;
Abstract: 目的 总结胭血管陷迫综合征(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)胭动脉探查术,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.
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