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持续性坐骨动脉的治疗。

Treatment of the persistent sciatic artery.

作者信息

Mayschak D T, Flye M W

出版信息

Ann Surg. 1984 Jan;199(1):69-74. doi: 10.1097/00000658-198401000-00012.

DOI:10.1097/00000658-198401000-00012
PMID:6691734
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1353260/
Abstract

The persistent sciatic artery is a rare vascular anomaly, with only 37 reported cases in the world literature. Estimates of incidence, based on angiographic series, range from 0.04 to 0.06%. It may pose a threat to the viability of the lower extremity, for the pathologic character of the persistent sciatic artery is such that it is especially prone to atheromatous degeneration, thrombosis, distal thromboembolization, aneurysmal formation, and rupture. Although rare, the possibility of such an anomaly must be borne in mind with certain clinical presentations, during orthopedic procedures on the hip, and during angiographic studies of the leg. Successful surgical correction of the problem necessitates excluding the anomalous artery from the circulation while revascularizing the lower extremity.

摘要

坐骨动脉持续存在是一种罕见的血管异常,世界文献中仅报道了37例。根据血管造影系列研究,其发病率估计在0.04%至0.06%之间。坐骨动脉持续存在可能会对下肢的生存能力构成威胁,因为其病理特征使其特别容易发生动脉粥样硬化退变、血栓形成、远端血栓栓塞、动脉瘤形成和破裂。尽管这种异常情况罕见,但在某些临床表现、髋关节骨科手术以及腿部血管造影研究过程中,必须考虑到这种可能性。要成功地通过手术解决该问题,需要在恢复下肢血运的同时将异常动脉排除在循环之外。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6609/1353260/db303137ce59/annsurg00119-0081-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6609/1353260/15f7243cc80e/annsurg00119-0080-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6609/1353260/4a41bba6eb33/annsurg00119-0080-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6609/1353260/db303137ce59/annsurg00119-0081-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6609/1353260/15f7243cc80e/annsurg00119-0080-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6609/1353260/4a41bba6eb33/annsurg00119-0080-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6609/1353260/db303137ce59/annsurg00119-0081-a.jpg

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引用本文的文献

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A case report of bilateral persistent sciatic artery: Bilateral aneurysm with thromboembolism of the right lower extremity.双侧永存坐骨动脉 1 例报告:右侧下肢股浅动脉下段动脉瘤伴血栓栓塞。
Medicine (Baltimore). 2024 Sep 13;103(37):e39125. doi: 10.1097/MD.0000000000039125.
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Bilateral Persistent Sciatic Artery - An Infrequent Occurrence: A Case Report with Review of Literature.双侧永存坐骨动脉——一种不常见的情况:病例报告并文献复习。
Ann Afr Med. 2024 Jul 1;23(3):505-508. doi: 10.4103/aam.aam_162_22. Epub 2024 Jun 7.
3
Bilateral persistent sciatic arteries complicated by a unilateral aneurysm: A case report.

本文引用的文献

1
PERSISTENT AXIAL OR SCIATIC ARTERY OF THE LOWER LIMB IN ASSOCIATION WITH HEMIHYPERTROPHY.下肢持续性轴动脉或坐骨动脉伴半侧肥大
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Persistent sciatic artery: a case report.持续性坐骨动脉:一例报告。
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Regression of a thrombosed persistent sciatic artery aneurysm.血栓形成的持续性坐骨动脉瘤的消退。
Heart Vessels. 2009 Jan;24(1):66-9. doi: 10.1007/s00380-008-1093-2. Epub 2009 Jan 23.
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Intermittent claudication associated with persistent sciatic artery: report of two cases.与持续性坐骨动脉相关的间歇性跛行:两例报告。
Surg Today. 1997;27(9):863-7. doi: 10.1007/BF02385280.
Can J Surg. 1980 Sep;23(5):466-7.
4
Bilateral persistent sciatic artery with bilateral aneurysms: case report and review of the literature. ?双侧持续性坐骨动脉伴双侧动脉瘤:病例报告及文献复习。 ?
Can J Surg. 1981 Sep;24(5):535-7.
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Gluteal aneurysm.臀动脉瘤
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Persistence of the axis artery of the lower limb.下肢轴动脉的持续存在。
Anat Rec. 1965 Jun;152(2):161-72. doi: 10.1002/ar.1091520207.
7
The surgical management of an aneurysm of a primitive persistent sciatic artery.原始持续性坐骨动脉瘤的手术治疗
Ann Surg. 1968 Feb;167(2):277-81. doi: 10.1097/00000658-196802000-00019.
8
[Radiographic anatomy of the arterial variations in the lower extremity and their frequency].[下肢动脉变异的影像学解剖及其发生率]
Fortschr Geb Rontgenstr Nuklearmed. 1970 Jun;112(6):731-45.
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[Sciatic artery. A rare vessel variant].[坐骨动脉。一种罕见的血管变异]
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Pulsatile buttock masses: gluteal and persistent sciatic artery aneurysms.搏动性臀部肿块:臀动脉和持续性坐骨动脉瘤
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