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[两例腘动脉囊性外膜疾病。当前的诊断方法]

[Two cases of cystic adventitial disease of the popliteal artery. Current diagnostic approach].

作者信息

Chiche L, Baranger B, Cordoliani Y S, Darrieus H, Guyon P, Vicq P

机构信息

Clinique de Chirurgie Digestive et Vasculaire, Hôpital d'Instruction des Armées du Val de Grâce, Paris.

出版信息

J Mal Vasc. 1994;19(1):57-61.

PMID:8027683
Abstract

The authors report two cases of cystic adventitial disease of the popliteal artery. Both patients complained of calf claudication and presented a thrombosis of the popliteal artery. In one case, magnetic resonance imaging exhibited a specific preoperative diagnosis. In both cases, at least one communication between the cysts and the capsule of the knee joint was demonstrated, supporting the congenital hypothesis of the disease. The two cases have been treated by vein graft replacement of the occluded popliteal arteries. Both patients have remained asymptomatic and the two grafts have remained patent during the ninth and twelfth month follow-up periods.

摘要

作者报告了两例腘动脉囊性外膜疾病。两名患者均主诉小腿间歇性跛行,并出现腘动脉血栓形成。其中1例,磁共振成像显示了术前的特异性诊断。在两例中,均证实囊肿与膝关节囊之间至少存在一处交通,支持该病的先天性假说。两例均采用静脉移植置换闭塞的腘动脉进行治疗。两名患者均保持无症状,且在第九和第十二个月的随访期内,两根移植血管均保持通畅。

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