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[50岁之前腘动脉反复急性闭塞:腘动脉受压综合征?]

[Recurrent acute occlusions of the popliteal artery before age 50: popliteal entrapment syndrome?].

作者信息

Zünd G, Brunner U, Schimmer R, Schöpke W, Enzler M

机构信息

Abteilung für Periphere efässchirurgie, Universitätsspital Zürich.

出版信息

Vasa. 1993;22(1):86-90.

PMID:8465598
Abstract

Compression of the popliteal artery by the medial head of the gastrocnemius muscle is termed "Popliteal Artery Entrapment". The anatomical course of the artery can be normal or abnormal. The entrapment can cause occlusion of the artery or peripheral embolism. This syndrome is an important differential diagnosis in younger patients with recurrent peripheral arterial ischemia. Diagnosis is made by history, clinical findings, arteriography and CT-scan of the knees. All cases of popliteal artery entrapment, whether the artery is occluded or not, should be operated on.

摘要

腓肠肌内侧头对腘动脉的压迫被称为“腘动脉陷迫症”。该动脉的解剖走行可以是正常的,也可以是异常的。这种陷迫可导致动脉闭塞或周围栓塞。该综合征是年轻患者反复出现周围动脉缺血的重要鉴别诊断。通过病史、临床表现、动脉造影和膝关节CT扫描进行诊断。所有腘动脉陷迫症病例,无论动脉是否闭塞,均应进行手术治疗。

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