雙側(cè)腘動(dòng)脈陷迫綜合癥

雙側(cè)腘動(dòng)脈陷迫綜合癥第1頁/共24頁腘動(dòng)脈陷迫綜合癥首次由T.P.AndersonStuart，于1879報(bào)道由腘窩結(jié)構(gòu)的異常導(dǎo)致的壓迫癥狀和缺血癥狀無或缺乏動(dòng)脈硬化的危險(xiǎn)因素早期診斷非常重要第2頁/共24頁臨床情況文獻(xiàn)報(bào)道（PubMed）年輕人中的發(fā)病率0.16-3.5%超過80%的患者年齡<30，運(yùn)動(dòng)員，軍人男女比例：

8:1，25%為雙側(cè)病變北京協(xié)和的3年經(jīng)驗(yàn)(Jau/2006—Dec/2008)*72例，45歲以下急/慢性缺血中，9例被診斷為腘動(dòng)脈陷迫綜合癥占12.5%;評(píng)價(jià)年齡：23.8±9.4，77.8%小于30;男/女7:2，1例為雙側(cè)*WuWeiwei,LiuChangwei,etal,unpublisheddata第3頁/共24頁XXX56yearsoldNohistoryofhypertension,diabetes,andcardiacischemicdisease,however,hewasasmokerIntermittentclaudicationfor2months,bothsides

第4頁/共24頁NormalPositionPlanterflexionDorsiflexionABIABIABIRight0.880.590.76Left1.100.951.00第5頁/共24頁SpecialExamination第6頁/共24頁第7頁/共24頁ArteryVeinNerveInnerheadofG右側(cè)，II型第8頁/共24頁右側(cè)，II型第9頁/共24頁左側(cè)，III型ArteryNerveVein第10頁/共24頁總結(jié)謝謝大家!腘動(dòng)脈陷迫綜合癥可能比我們想象的多早期診斷，解除解剖結(jié)構(gòu)異常非常重要對(duì)于年齡>50的，沒有太多動(dòng)脈硬化危險(xiǎn)因素的，局限性腘動(dòng)脈病變患者，要考慮到本病的可能第11頁/共24頁BilateralpoplitealarteryentrapmentYongjunLi,YuexinChen,WuWeiwei,XiaozhenLi*ChangweiLiu,HengGuanDept.ofVascularSurgeryDept.ofRadiologyPUMCHospital第12頁/共24頁P(yáng)oplitealArteryEntrapmentSyndromePoplitealentrapmentwasfirstdescribedbyaScottishmedicalstudent,T.P.AndersonStuart,in1879CrushsyndromeresultingfromcompressionofthepoplitealarteryandimpairmentofitsbloodflowbystructuresofthepoplitealspaceNon/lessatheromatouscausesoflimbischaemiaEarlydiagnosisisimportant第13頁/共24頁EpidemiologyLiteraturesreviewfromPubMed0.16-3.5%prevalenceingeneralyounggenerationMorethan80%<30,athletes,militarypersonnelMales8:1Females,25%bilateralOnesinglecenter,3yearsexperiences(Jau/2006—Dec/2008)*9diagnosedPAESintotal72acute/chroniclimbischemia,under45yearsoldPrevalence:12.5%;averageage:23.8±9.4,77.8%lessthan30;Males7:2Females,1wasbilateral*WuWeiwei,LiuChangwei,etal,unpublisheddata第14頁/共24頁XXX56yearsoldNohistoryofhypertension,diabetes,andcardiacischemicdisease,however,hewasasmokerIntermittentclaudicationfor2months,bothsides

第15頁/共24頁NormalPositionPlanterflexionDorsiflexionABIABIABIRight0.880.590.76Left1.100.951.00第16頁/共24頁SpecialExamination第17頁/共24頁第18頁/共24頁ArteryVeinNerveInnerheadofGRightleg,TypeII第19頁/共24頁Rightleg,TypeII第20頁/共24頁Leftleg,TypeIIIArteryNerveVein第21頁/共24頁ConclusionTHANKYOU!PoplitealarteryentrapmentmightbemorepopularthanweareimaginativeEarlydiagnosisandLiberatecompressionsyndromesBeconsideredinpatientsover50wit