White S M, Witten C M
National Rehabilitation Hospital, Washington, DC.
Arch Phys Med Rehabil. 1990 Jul;71(8):601-5.
The purpose of this article was to describe popliteal artery entrapment syndrome, which is a cause of intermittent claudication in a young person, and to illustrate the importance of early diagnosis for successful treatment of this entity. A case report of a 28-year-old man with popliteal artery entrapment syndrome is presented. This patient had a classic history of calf pain that worsened with walking and was relieved by rest, running, or bicycle riding. Physical examination revealed evidence of ischemia in the distal extremity, and arteriography demonstrated signs of chronic occlusive disease. Early treatment might have included surgical release of the popliteal artery and arterial grafting. Due to extensive vascular disease, grafting was not possible and a below-knee amputation was performed. It is therefore essential to diagnose popliteal artery syndrome early for appropriate management.
本文旨在描述腘动脉压迫综合征，这是年轻人间歇性跛行的一个病因，并阐明早期诊断对成功治疗该病症的重要性。现报告一例28岁男性腘动脉压迫综合征病例。该患者有典型的小腿疼痛病史，行走时加重，休息、跑步或骑自行车可缓解。体格检查发现远端肢体存在缺血迹象，动脉造影显示有慢性闭塞性疾病的征象。早期治疗可能包括腘动脉手术松解和动脉移植。由于广泛的血管疾病，无法进行移植，遂行膝下截肢术。因此，早期诊断腘动脉综合征对于恰当的治疗至关重要。
