[Entrapment syndrome of the popliteal vein: results of the surgical treatment].
[Entrapment syndrome of the popliteal vein: results of the surgical treatment].
复制标题
[腘静脉卡压综合征：手术治疗的结果]。
DOI：
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复制
发表时间：
1996
影响因子：
0.8
通讯作者：
A. Cavallaro
中科院分区：
文献类型：
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作者：
L. Di Marzo;S. Cisternino;P. Sapienza;M. Morelli;C. Burchi;M. Battistini;A. Cavallaro
腘静脉嵌顿的报道很少。本研究的目的是评估静脉减压术治疗腘静脉压迫综合征的长期效果。自1986年8月至1994年6月，我院对35例（49条肢体）腘静脉压迫综合征患者进行了手术治疗。有28名女性和7名男性（平均年龄44.5 ± 13.5岁）。7条肢体伴有腘动脉卡压综合征。23条（49.6%）肢体出现归因于静脉疾病的皮肤变化。术前诊断包括多普勒CW、多普勒扫描、静脉造影和动态静脉压测量。手术治疗包括对引起嵌顿的异常结构的分割。35条（71.4%）肢体同时伴有交通静脉筋膜下结扎。患者随访（平均61 +/- 7个月），静脉造影和AVP。无死亡病例，发病率为14.3%。多普勒连续波和多普勒超声诊断卡压不准确。动态静脉压和静脉造影准确诊断了该综合征。年龄和术前状态不影响长期结果（p = NS）。交通静脉结扎的相关操作对长期手术成功率有负面影响（p < 0.03）。腘静脉压迫综合征应早期诊断，以防止交通静脉功能不全。对于不需要结扎交通静脉的病例，手术治疗的远期成功率更高。后期治疗可以改善症状，但不能预防长期慢性静脉疾病的后果。
Entrapment of the popliteal vein has been rarely reported. Purpose of the present study was to evaluate the long-term results of vein decompression in the popliteal vein entrapment syndrome. Between August 1986 and June 1994, 35 patients (49 limbs) were operated on for popliteal vein entrapment syndrome at our Institution. There were 28 female and 7 male (mean age 44.5 +/- 13.5 years). Seven limbs had associated a popliteal artery entrapment syndrome. Twenty-three (49.6%) limbs presented with skin changes ascribed to venous disease. Preoperative diagnosis consisted on Doppler CW, Duplex Scan, venography and ambulatory venous pressure measurements. Surgical management consisted on the division of the anomalous structure causing entrapment. In 35 (71.4%) limbs subfascial ligation of perforating veins was associated. The patients were followed-up (mean 61 +/- 7 months) with venography and AVP. No deaths occurred and morbidity was 14.3%. Doppler CW and Duplex Scan were not accurate to diagnose the entrapment. Ambulatory venous pressure and venography accurately diagnosed the syndrome. Age and preoperative status did not affect long-term results (p = NS). Long-term operative success was negatively influenced by associated procedures for ligation of perforating veins (p < 0.03). Popliteal vein entrapment syndrome should be early diagnosed to prevent incompetence of perforating veins. Surgical treatment of cases not requiring ligation of perforating veins had a better long-term success rate. Treatment at later stages allows symptom amelioration but does not prevent the consequences of a long-standing chronic venous disease.