[1]张龙,李选,董国祥,等.功能性腘动脉陷迫综合征的CTA解剖特点初探[J].中国微创外科杂志,2012,12(2):131-139.
　Zhang Long,Li Xuan,Dong Guoxiang,et al.Preliminary CTA Study on the Anatomical Features of Functional Popliteal Artery Entrapment Syndrome[J].Chinese Journal of Minimally Invasive Surgery,2012,12(2):131-139.
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功能性腘动脉陷迫综合征的CTA解剖特点初探()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
12
期数:
2012年2期
页码:
131-139
栏目:
出版日期:
2012-02-25

文章信息/Info

Title:
Preliminary CTA Study on the Anatomical Features of Functional Popliteal Artery Entrapment Syndrome
作者:
张龙; 李选; 董国祥; 赵军
（北京大学第三医院介入血管外科，北京100191
Author(s):
Zhang Long;  Li Xuan;  Dong Guoxiang;  et al.
Department of Vascular Intervention, Peking University Third Hospital, Beijing 100191, China
关键词:
功能性腘动脉陷迫综合征; CTA标线法
Keywords:
Functional popliteal artery entrapment syndrome; CTA Marking method
分类号:
R654.3
文献标志码:
A
摘要:
目的运用CTA标线法探讨功能性腘动脉陷迫综合征（functional popliteal artery entrapment syndrome，fPAES）是否存在“解剖畸形”。方法2007～2011年手术确诊的14条fPAES患肢与180条对照肢体的CTA进行比较，并用CTA标线法分析腘窝轴位上两组的解剖位置差异。结果fPAES组所有患肢腓肠肌内侧头向外移位且13条（93％）向外超过了腘动脉，所有腘动脉均向深方移位；对照组腓肠肌内侧头完全起自“股骨内侧髁后上方”（解剖学所描述的标准位置）的仅占12％（21/180）；对照组21％（38/180）腓肠肌内侧头与腘动脉相对位置关系及38％（68/180）的腘动脉深浅位置关系不符合标准解剖。结论腓肠肌内侧头的外移普遍存在，解剖“移位”可能从量变到质变，fPAES可能是严重移位导致的结果。内侧头外移超越腘动脉及腘动脉向深方移位是fPAES两个有意义的观察指标。
Abstract:
ObjectiveTo investigate whether “abnormal anatomy” exists in functional popliteal artery entrapment syndrome (fPAES) by CTA. MethodsWe compared the CTA results of 14 limbs with fPAES, which were diagnosed during 2006 to 2011, with 180 healthy limbs. The popliteal fossa anatomy of all the limbs in the two groups was analyzed by CTA. ResultsIn the fPAES group, the medial head of gastrocnemius muscle moved outward in all the limbs, 93% (13 limbs) were displaced outside of the popliteal artery, and all of the popliteal artery were relocated to a deeper position. In the control group, only in 21 limbs (12%), the medial head of gastrocnemius muscle completely started from the “posterosuperior medial femoral condyle”, the socalled standard anatomical position. The position relationship between the medial head of the gastrocnemius muscle and popliteal artery was abnormal in 21% (38 limbs), and the depth popliteal artery was abnormal in 38% (68 limbs). ConclusionsThe outward displacement of the medial head of the gastrocnemius muscle is common in general population. Functional PAES might be a result of obvious anatomical outward displacement which could cause entrapment. The medial head of the gastrocnemius muscle displacing outside of the popliteal artery and popliteal artery shifting to a deeper position are two useful observational indices for fPAES.

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更新日期/Last Update: 2013-04-11