双侧腘动脉陷迫综合症课件.pptVIP

双侧腘动脉陷迫综合症 李拥军，陈跃鑫，吴巍巍，李晓圳* 刘昌伟，管珩 北京协和医院 血管外科 放射科 腘动脉陷迫综合症 首次由 T. P. Anderson Stuart，于1879报道 由腘窝结构的异常导致的压迫症状和缺血症状 无或缺乏动脉硬化的危险因素 早期诊断非常重要 临床情况 文献报道（ PubMed） 年轻人中的发病率0.16-3.5% 超过 80%的患者年龄 30 ，运动员，军人 男女比例： 8:1， 25% 为双侧病变 北京协和的3年经验 (Jau/2006—Dec/2008)* 72例，45岁以下急/慢性缺血中，9例被诊断为腘动脉陷迫综合症 占 12.5%; 评价年龄： 23.8±9.4， 77.8%小于 30; 男/女 7:2， 1例为双侧 Special Examination 右侧，II型 左侧，III型 总结 腘动脉陷迫综合症可能比我们想象的多 早期诊断，解除解剖结构异常非常重要 对于年龄50的，没有太多动脉硬化危险因素的，局限性腘动脉病变患者，要考虑到本病的可能 * * *Wu Weiwei, Liu Changwei, et al, unpublished data XXX 56 years old No history of hypertension, diabetes, and cardiac ischemic disease, however, he was a smoker Intermittent claudication for 2 months, both sides 1.00 0.95 1.10 Left 0.76 0.59 0.88 Right ABI ABI ABI Dorsiflexion Planter flexion Normal Position Artery Vein Nerve Inner head of G 右侧，II型 Artery Nerve Vein 谢谢大家! Bilateral popliteal artery entrapment Yongjun Li, Yuexin Chen, Wu Weiwei, Xiaozhen Li* Changwei Liu, Heng Guan Dept. of Vascular Surgery Dept. of Radiology PUMC Hospital Popliteal Artery Entrapment Syndrome Popliteal entrapment was first described by a Scottish medical student, T. P. Anderson Stuart, in 1879 Crush syndrome resulting from compression of the popliteal artery and impairment of its blood flow by structures of the popliteal space Non/less atheromatous causes of limb ischaemia Early diagnosis is important Epidemiology Literatures review from PubMed 0.16-3.5% prevalence in general young generation More than 80% 30 , athletes, military personnel Males 8:1 Females, 25% bilateral One single center, 3 years experiences (Jau/2006—Dec/2008)* 9 diagnosed PAES in total 72 acute/chronic limb ischemia, under 45 years old Prevalence: 12.5%; average age: 23.8±9.4, 77.8% less than 30; Males 7:2 Females, 1 was bilateral *Wu Weiwei, Liu Changwei, et al, unpublished data XXX 56 years old No history of hypertension, diabetes, and cardiac ischemic disease, however, he was a smoker Intermittent claudication for 2 months, both sides Normal Position Pla