Magne J L, Voirin L, Badra A, Farah I, Chichignoud B, Guidicelli H
Service de Chirurgie vasculaire, CHU Grenoble.
J Mal Vasc. 1994;19 Suppl A:150-3.
The treatment of symptomatic popliteal aneurysms is debated should local fibrinolysis or surgery first be used first? The authors report their experience in the treatment of 90 popliteal aneurysms in 66 patients. In this series were only examined those aneurysms with either acute ischaemia 12 (27%) or sub-acute ischaemia 21 (45%). The treatment of those cases with acute ischaemia was surgical for all, allowing salvage in all cases. Sub-acute ischaemia was treated with either: a surgical bypass with exclusion of the aneurysm in 7 cases, or lumbar sympathectomy in 7 cases, or medical treatment in 6 cases or local fibrinolysis for distal ischaemia in one case only. There was no peri-operative mortality, only one amputation was required (5%) (J Mal Vasc 1994; 19, Suppl. A: pages 150-153).
有症状的腘动脉瘤的治疗存在争议，是应首先采用局部纤溶治疗还是手术治疗？作者报告了他们治疗66例患者90个腘动脉瘤的经验。在这个系列中，仅检查了那些伴有急性缺血12例（27%）或亚急性缺血21例（45%）的动脉瘤。所有急性缺血病例均采用手术治疗，所有病例均成功挽救。亚急性缺血的治疗方法如下：7例行手术旁路并排除动脉瘤，7例行腰交感神经切除术，6例采用药物治疗，仅1例因远端缺血采用局部纤溶治疗。围手术期无死亡病例，仅1例行截肢手术（5%）（《血管外科学杂志》1994年；19，增刊A：第150 - 153页）
