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[腘静脉和动脉受压]

[Trapped popliteal vein and artery].

作者信息

Allal J, Gallimard J F, Goubbault F, Lelong J, Barbier J, Barraine R

出版信息

Ann Cardiol Angeiol (Paris). 1986 Mar;35(3):155-8.

PMID:3707018
Abstract

A report is made of 3 observations of vascular constrictions in the knee hollow of three young adults: two constrictions of the popliteal artery, one by abnormal insertion of a tendon of the gastrocnemius muscle and of the arterial passage, the other by a fibrous band surrounding the artery. In one observation, the disorder was revealed by acute ischemia of one limb. The third observation was of a sural phlebitis with secondary repetition at the constriction of the popliteal vein by Soleaire's arcade. In all cases examination using the Doppler effect, in baseline and especially dynamic position, gives a diagnosis and allows postoperative monitoring. Bilateral arteriography, both static and dynamic, allows a precise diagnosis to be given and reveals the extent of vascular lesions, which conditions the operative technique. Treatment is always surgical, with exploration of the contralateral side if a constriction is suspected, even if it is asymptomatic.

摘要

报告了对三名年轻成年人腘窝处血管狭窄的3例观察结果:腘动脉有两处狭窄,一处是由于腓肠肌肌腱异常插入和动脉走行所致,另一处是由围绕动脉的纤维带引起。在1例观察中,该疾病通过一侧肢体的急性缺血得以发现。第3例观察是1例腓肠静脉炎,腘静脉在索莱尔弓处发生继发性狭窄。在所有病例中,使用多普勒效应进行检查,在基线状态下尤其是动态体位时,可做出诊断并用于术后监测。双侧静态和动态动脉造影可做出精确诊断并显示血管病变的范围,这决定了手术技术。治疗始终采用手术方式,如果怀疑有狭窄,即使无症状,也应对对侧进行探查。

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