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持续性坐骨动脉。三例报告及文献复习。

Persistent sciatic artery. Report of three cases and literature review.

作者信息

Freeman M P, Tisnado J, Cho S R

出版信息

Br J Radiol. 1986 Mar;59(699):217-23. doi: 10.1259/0007-1285-59-699-217.

DOI:10.1259/0007-1285-59-699-217
PMID:3512010
Abstract

Persistence of the sciatic artery (SA) is a rare vascular anomaly, resulting from lack of regression of an embryonal artery to the lower extremity. Forty-nine cases have been published in the world literature since 1832. The persistent sciatic artery (PSA) is particularly prone to undergo aneurysm formation or atherosclerosis. It originates from the internal iliac artery, courses in close proximity to the sciatic nerve, and provides the main supply to the popliteal artery because a hypoplastic superficial femoral artery (SFA), contributing only collaterals to the knees, is usually associated with a PSA. This anomaly should be kept in mind in the clinical assessment of a pulsatile gluteal mass. It also presents a potential hazard during hip and renal transplant surgery.

摘要

坐骨动脉(SA)持续存在是一种罕见的血管异常,由胚胎期下肢动脉未退化所致。自1832年以来,世界文献中已发表了49例相关病例。持续性坐骨动脉(PSA)特别容易形成动脉瘤或发生动脉粥样硬化。它起源于髂内动脉,与坐骨神经毗邻走行,由于发育不全的股浅动脉(SFA)通常与PSA相关,仅为膝关节提供侧支循环,因此PSA是腘动脉的主要供血来源。在对搏动性臀区肿块进行临床评估时应考虑到这种异常情况。它在髋关节和肾脏移植手术中也存在潜在风险。

相似文献

1
Persistent sciatic artery. Report of three cases and literature review.持续性坐骨动脉。三例报告及文献复习。
Br J Radiol. 1986 Mar;59(699):217-23. doi: 10.1259/0007-1285-59-699-217.
2
Clinical aspects of persistent sciatic artery: report of two cases and review of the literature.持续性坐骨动脉的临床特点:两例报告并文献复习
Surgery. 1977 May;81(5):588-95.
3
Persistent sciatic artery--a curious vascular anomaly.持续性坐骨动脉——一种奇特的血管异常。
Catheter Cardiovasc Interv. 2007 Aug 1;70(2):252-5. doi: 10.1002/ccd.21205.
4
Bilateral persistent complete sciatic artery.
Clin Anat. 2000;13(6):456-60. doi: 10.1002/1098-2353(2000)13:6<456::AID-CA12>3.0.CO;2-T.
5
[A surgical case of aneurysm of the persistent sciatic artery].[一例坐骨动脉持续存在性动脉瘤的外科病例]
Nihon Geka Gakkai Zasshi. 1987 Oct;88(10):1509-12.
6
Treatment of the persistent sciatic artery.持续性坐骨动脉的治疗。
Ann Surg. 1984 Jan;199(1):69-74. doi: 10.1097/00000658-198401000-00012.
7
Arteriomegaly of persistent sciatic arteries.
Radiology. 1978 Jul;128(1):55-6. doi: 10.1148/128.1.55.
8
[Unusual variations of the large arteries of the thigh].[大腿大动脉的异常变异]
Rofo. 1984 Sep;141(3):318-26. doi: 10.1055/s-2008-1053140.
9
A case of aneurysm of a primitive persistent sciatic artery: anatomical-clinical aspects and surgical management.一例原始持续性坐骨动脉瘤:解剖临床特点及手术治疗
Int Angiol. 1986 Apr-Jun;5(2):87-90.
10
Role of computed tomographic angiography in the detection and comprehensive evaluation of persistent sciatic artery.计算机断层血管造影在持续性坐骨动脉检测及综合评估中的作用
J Vasc Surg. 2005 Oct;42(4):678-83. doi: 10.1016/j.jvs.2005.06.001.

引用本文的文献

1
Radiological and Embryological Relevance of Persistent Sciatic Arteries: A Rare Presentation.持续性坐骨动脉的放射学及胚胎学关联:一种罕见表现
Cureus. 2021 Oct 11;13(10):e18660. doi: 10.7759/cureus.18660. eCollection 2021 Oct.
2
Bilateral persistent sciatic arteries complicated by a unilateral aneurysm: A case report.双侧持续性坐骨动脉合并单侧动脉瘤:一例报告。
Radiol Case Rep. 2020 Jun 28;15(8):1354-1358. doi: 10.1016/j.radcr.2020.05.037. eCollection 2020 Aug.
3
An unusual combination of sciatic and popliteal artery aneurysms.
坐骨动脉瘤和腘动脉瘤的罕见组合。
BMJ Case Rep. 2011 Jun 17;2011:bcr0320114029. doi: 10.1136/bcr.03.2011.4029.
4
Persistent sciatic artery: bilateral percutaneous transluminal angioplasty in ischemic disease.
Cardiovasc Intervent Radiol. 1993 Nov-Dec;16(6):377-9. doi: 10.1007/BF02603144.
5
Hypoplastic superficial femoral artery associated with bilateral persistent sciatic arteries: a diagnostic pitfall.发育不全的股浅动脉合并双侧坐骨动脉持续存在:一个诊断陷阱。
Cardiovasc Intervent Radiol. 1992 Jul-Aug;15(4):240-3. doi: 10.1007/BF02733930.