Smith G, Train J, Mitty H, Jacobson J
Rush-Pryesbyterian-St. Luke's Medical Center, Chicago, IL 60612.
Clin Orthop Relat Res. 1992 Nov(284):176-80.
Two patients with severe hip pain proved to have buttock claudication resulting from isolated stenosis of the hypogastric artery. This diagnosis may be elusive if distal pulses are palpable, directing the clinician's suspicion away from vascular pathology. Diagnosis requires angiography. The patients were successfully treated by transluminal angioplasty. Angioplasty is the initial treatment of choice for these patients because the hypogastric artery is usually readily and safely accessible from either the femoral or axillary artery.
两名严重髋关节疼痛患者经证实患有因髂内动脉孤立性狭窄导致的臀部间歇性跛行。如果可触及远端脉搏，该诊断可能难以捉摸，从而使临床医生的怀疑偏离血管病变。诊断需要血管造影。患者通过腔内血管成形术成功治疗。血管成形术是这些患者的首选初始治疗方法，因为髂内动脉通常可从股动脉或腋动脉轻松且安全地进入。
