Farah I, Magne J L, Guidicelli H
Service de Chirurgie Vasculaire, CHU de Grenoble.
J Mal Vasc. 1994;19(2):111-4.
A retrospective multicentric study conducted by the vascular group of the AURC (University association of surgical research) included 36 sub-adventitial cysts of the popliteal artery. This is a rare cause of claudication in the young male and usually involves the adventitia of the arterial wall. There is usually only one localization. Echography of the cyst may wrongly suggest partial thrombosis of a popliteal aneurysm. Angiography and CT scan provide the correct diagnosis. The results of surgical treatment were analyzed after a follow-up ranging form 3 months to 20 years (mean 9 years). The reports in the literature confirm that these are rare lesion of a poorly understood origin (congenital or acquired?). Simple complete surgical excision gives excellent results with the exception of initially complicated forms which require resection and grafting.
由AURC(外科研究大学协会)血管组进行的一项回顾性多中心研究纳入了36例腘动脉外膜下囊肿。这是年轻男性间歇性跛行的罕见原因,通常累及动脉壁外膜。通常只有一个发病部位。囊肿的超声检查可能会错误地提示腘动脉瘤部分血栓形成。血管造影和CT扫描可提供正确诊断。在3个月至20年(平均9年)的随访后分析了手术治疗结果。文献报道证实这些是起源不明(先天性或后天性?)的罕见病变。单纯完整手术切除效果极佳,但最初的复杂形式需要切除并移植。