Thevenet A, Latil J L, Albat B
Service de Chirurgie Thoracique et Cardiovasculaire, Hôpital Aiguelongue, Montpellier, France.
Ann Vasc Surg. 1992 May;6(3):199-204. doi: 10.1007/BF02000263.
Fibromuscular disease is rarely observed in the external iliac artery. During the last 15 years, eight symptomatic cases were encountered in six women and two men whose ages ranged from 29 to 63 years (mean: 47 years). Clinical onset was always recent, either progressive with claudication (three cases) or sudden with abdominal and pelvic pain and acute ischemia due to dissection (five cases). Diagnosis was established by arteriograms showing either a typical appearance of fibromuscular hyperplasia or a segmental dissection or occlusion. Two patients had associated fibromuscular disease of the renal arteries. One of these patients had dysplastic aneurysm of the thyrocervical trunk. Histopathological findings were typical of medial fibromuscular hyperplasia in the seven cases examined. Even though transluminal dilatation is presently simple, adequate, and durable for the management of non-complicated forms, all of our cases were treated surgically either because they were observed before transluminal dilatation was readily available or because of associated dissection. Results of surgery were satisfactory in all cases except one with a mean follow-up of 12.6 years. One patient was reoperated upon 13 years later.
纤维肌性疾病很少见于髂外动脉。在过去15年中，我们遇到8例有症状的患者，其中6名女性，2名男性，年龄在29岁至63岁之间（平均47岁）。临床发病总是近期出现，要么是进行性跛行（3例），要么是突然出现腹部和盆腔疼痛以及因夹层形成导致的急性缺血（5例）。通过动脉造影确诊，表现为典型的纤维肌性增生外观或节段性夹层或闭塞。2例患者合并肾动脉纤维肌性疾病。其中1例患者有甲状腺颈干发育异常性动脉瘤。7例接受检查的患者组织病理学表现为典型的中膜纤维肌性增生。尽管目前腔内扩张术对于非复杂性病变的治疗简单、有效且持久，但我们所有的病例均接受了手术治疗，要么是因为这些病例是在腔内扩张术普及之前被发现的，要么是因为合并夹层形成。除1例患者外，所有病例手术结果均令人满意，平均随访12.6年。1例患者在13年后再次接受手术。
