对于功能性斑点陷综合征的手术减压的当代结果
James J Fitzgibbon1, Patrick Heindel1, Magda Abdou2
1Division of Vascular and Endovascular Surgery, Department of Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA; Center for Surgery and Public Health, Department of Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA.
Journal of vascular surgery
|February 1, 2024
概括
功能性波普立体捕获综合征 (FPES) 在年轻,活跃的患者中经常延迟诊断. 手术减压在三分之二的病例中改善了症状,但慢性劳力区综合征可能会同时存在.
科学领域:
- 血管外科 血管外科
- 运动医学 运动医学
- 诊断成像 诊断成像 诊断成像
背景情况:
- 功能性骨陷综合征 (FPES) 由于动态骨血管压缩而导致腿部疼痛.
- 在年轻,活跃的个体中,延迟诊断导致显著的发病率.
- 对于FPES的最佳诊断和手术策略仍然不清楚.
研究的目的:
- 评估FPES手术减压的结果.
- 评估FPES中的成像模式的诊断准确性.
- 为了确定与FPES相关的潜在并发症.
主要方法:
- 针对FPES (2018-2022) 进行手术减压的患者进行回顾性队列研究.
- 对手术前症状,成像,手术细节和后续结果的分析.
- 用DSA作为黄金标准对双重超声波,MRA和DSA的诊断灵敏度进行比较.
主要成果:
- 包括24个四肢 (16名患者),平均年龄为23.3岁.
- 与双重超声相比,数字减去血管造影显示FPES检测的灵敏度为85.7%.
- 术后66.7%的四肢出现症状改善;20.8%的四肢出现了与慢性劳力区综合征相一致的复发症状.
结论:
- 在FPES诊断的延迟是常见的,需要挑性成像.
- 手术减压可在大多数FPES患者中显著改善症状.
- 在持久或复发的情况下,考虑并发性慢性劳力区综合征.
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