Do D D, Braunschweig M, Baumgartner I, Furrer M, Mahler F
Department of Medicine, Inselspital, University of Berne, Switzerland.
Radiology. 1997 Jun;203(3):743-6. doi: 10.1148/radiology.203.3.9169698.
To evaluate percutaneous ultrasound (US)-guided aspiration as an alternative therapy for adventitial cystic disease.
Between September 1993 and June 1996, seven patients (six men, one woman; age range, 42-62 years; mean age, 48 years) presented with symptomatic adventitial cystic disease of the popliteal artery (one patient with subacute foot paresthesia, six patients with chronic calf claudication). Color Doppler sonography showed stenosis due to eccentric cysts. Five of the patients also underwent digital subtraction angiography, and four patients underwent magnetic resonance imaging. With real-time sonographic guidance, a 14-gauge needle was forwarded percutaneously into the cysts for aspiration. The aspiration procedure was performed on an outpatient basis with local anesthetics.
The procedure was technically and clinically successful in all cases. No complications were noted. Follow-up color duplex sonography performed between 1 and 32 months (mean, 14.8 months) after the procedure showed no relevant recurrent stenosis.
Percutaneous US-guided aspiration is an easy, safe, efficacious method for treating adventitial cystic disease. In symptomatic patients who do not have thrombotic occlusion, it may be considered the treatment of choice.
评估经皮超声引导下抽吸术作为腘动脉外膜囊肿病的一种替代治疗方法。
1993年9月至1996年6月期间，7例患者（6例男性，1例女性；年龄范围42 - 62岁，平均年龄48岁）出现腘动脉外膜囊肿病症状（1例患者有亚急性足部感觉异常，6例患者有慢性小腿间歇性跛行）。彩色多普勒超声显示因偏心囊肿导致狭窄。其中5例患者还接受了数字减影血管造影，4例患者接受了磁共振成像检查。在实时超声引导下，经皮将一根14号针插入囊肿进行抽吸。抽吸操作在门诊使用局部麻醉剂进行。
该操作在技术和临床方面均成功，所有病例均未出现并发症。术后1至32个月（平均14.8个月）进行的随访彩色双功超声检查显示无相关复发性狭窄。
经皮超声引导下抽吸术是治疗腘动脉外膜囊肿病的一种简便、安全、有效的方法。对于没有血栓闭塞的有症状患者，可将其视为首选治疗方法。
