双侧腘动脉陷迫综合症.ppt

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1、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/2006Dec/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：23.89.4，77.8%小于 30;男/女 7:2

2、，1例为双侧,*Wu Weiwei,Liu Changwei,et al,unpublished data,Intermittent claudication for 2 months,both sides,Special Examination,右侧，II型,右侧，II型,左侧，III型,总结,谢谢大家!,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,Bilateral popliteal artery entrapment,Yongjun Li,Yuexin Chen,Wu Weiw

3、ei,Xiaozhen Li*Changwei Liu,Heng GuanDept.of Vascular SurgeryDept.of Radiology PUMC Hospital,Popliteal Artery Entrapment Syndrome,Popliteal entrapment was first described by a Scottish medical student,T.P.Anderson Stuart,in 1879Crush syndrome resulting from compression of the popliteal artery and im

4、pairment of its blood flow by structures of the popliteal spaceNon/less atheromatous causes of limb ischaemia Early diagnosis is important,Epidemiology,Literatures review from PubMed0.16-3.5%prevalence in general young generationMore than 80%30,athletes,military personnelMales 8:1 Females,25%bilater

5、alOne single center,3 years experiences(Jau/2006Dec/2008)*9 diagnosed PAES in total 72 acute/chronic limb ischemia,under 45 years oldPrevalence:12.5%;average age:23.89.4,77.8%less than 30;Males 7:2 Females,1 was bilateral,*Wu Weiwei,Liu Changwei,et al,unpublished data,Intermittent claudication for 2

6、 months,both sides,Special Examination,Right leg,Type II,Right leg,Type II,Left leg,Type III,Conclusion,THANK YOU!,Popliteal artery entrapment might be more popular than we are imaginativeEarly diagnosis and Liberate compression syndromesBe considered in patients over 50 with local popliteal artery stenosis(less cardiovascular risk factors),Backup information,