【摘要】 目的探讨彩色多普勒超声在诊断腘动脉陷迫综合征(popliteal artery entrapment syndrome, PAES)中的应用价值。方法回顾性分析经手术病理证实为腘动脉陷迫综合征的13例患者(16条患肢)的超声检查资料,并与手术结果进行对比。结果超声检查显示16条患肢腘动脉均出现走行异常或受压,其中6条腘动静脉分离,腘动静脉之间可见肌束回声显示。9条患肢腘动脉管腔狭窄,其中1条局部瘤样扩张;激发试验后,9条管腔狭窄的腘动脉均可见受压征象,其中1条腘动脉表现为管腔受压闭塞伴血流中断。7条患肢腘动脉管腔闭塞,其中5条可见侧枝循环形成。超声结果与手术结果一致。结论彩色多普勒超声检查是一种简便易行的无创检查,不仅可以显示腘动脉狭窄、闭塞及侧枝循环形成,同时可以显示周围肌肉走行情况,结合激发试验,在腘动脉陷迫综合征诊断中具有重要价值。更多还原

【Abstract】 Objective To explore the potential role of color doppler ultrasound in the diagnosis of popliteal artery entrapment syndrome(PAES). Methods The color doppler ultrasound data of thirteen patients(16 limbs) who underwent surgical treatment for PAES were analyzed retrospectively and compared with the surgery. Results Color doppler ultrasound scan revealed course deviation and compression of popliteal arteries in all 16 cases. The popliteal artery and the popliteal vein were separated by an abnormal anatomical element in 6 cases. Stenosis of popliteal artery was found in 9 cases and aneurysmal formation in 1 case. Provocative maneuvers were all positive in the 9 stenosis cases. Occlusion of popliteal artery was found in 1 case after provocative maneuvers. Occlusion of popliteal artery was found in 7 cases and collateral circulation in 5 cases. The color doppler ultrasound findings were consistent with the surgery. Conclusion Color doppler ultrasound is a simple, convenient and noninvasive screening technique for the early diagnosis of PAES. Color doppler ultrasound can reveal course deviation, stenosis, occlusion and collateral circulation of popliteal artery. Color doppler ultrasound can also demonstrate course of muscles around the popliteal artery. Provocative maneuvers can aid to diagnose PAES. Color doppler ultrasound is a very effective tool in the diagnosis of PAES.更多还原