临床外科杂志 ›› 2025, Vol. 33 ›› Issue (10): 1102-1104.doi: 10.3969/j.issn.1005-6483.20241418

• 论著 • 上一篇    下一篇

12例腘动脉陷迫综合征的手术疗效分析

姜乔 郝清智 李冉冉 王子妍   

  1. 250000 山东济南,山东中医药大学第一临床医学院周围血管科
  • 收稿日期:2024-08-27 出版日期:2025-11-11 发布日期:2025-11-11
  • 通讯作者: 郝清智,Email:haodoctor2@126.com
  • 基金资助:
    齐鲁尚德俊周围血管学术流派传承工作室;教育部科技发展中心产学研基金(2021JH036);山东省自然科学基金面上项目(ZR2021MH356)

Analysis of operative effect of popliteal artery occlusion syndrome in 12 cases

JIANG Qiao*,HAO Qingzhi,LI Ranran,WANG Ziyan   

  1. *Department of Peripheral Vascular,the First Clinical Medical College of SDUTCM,Shandong,Jinan 250000,China
  • Received:2024-08-27 Online:2025-11-11 Published:2025-11-11

摘要: 目的 探讨手术治疗腘动脉陷迫综合征(PAES)的临床疗效。方法 2018年3月~2023年12月收治PAES病人12例,手术方案包括双腘动脉探查复位及肌腱移植,腘动、静脉松解联合动脉血栓清除、腘窝探查联合腘动脉松解,以及自体静脉补片成形及异常肌束切除。结果 随访时间3个月~5年,11例病人患肢皮温血运良好,无临床症状复发;1例病人术后2年出现左下肢皮温降低、足色苍白,诊断为左腘窝创伤性神经瘤压迫腘动脉,肿物切除后血运恢复。结论 开放性手术(肌腱移植、静脉补片等)治疗PAES效果显著。

关键词: 腘动脉陷迫综合征, 外科手术治疗

Abstract: Objective To explore surgical treatment efficacy for PAES.Methods A retrospective analysis was done on 12 PAES patients' surgery in our hospital from March 2018 to December 2023.Surgical plans included double popliteal artery exploration and repositioning with tendon transplantation,popliteal artery and vein release plus arterial thrombus removal,popliteal fossa exploration with popliteal artery release,and autologous vein patch angioplasty plus abnormal muscle bundle resection.Results Follow-up was 3 months to 5 years.11 patients had good affected limb skin temperature and blood supply,no symptom recurrence.One patient had left lower limb skin temperature decrease and pallor 2 years post-op (diagnosed as left popliteal fossa traumatic neuroma compressing popliteal artery),with blood supply restored after tumor removal.Conclusion Open surgery(tendon transplantation,vein patch) for PAES is effective.

Key words: popliteal artery entrapment syndrome, surgical treatment

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