飞行员腘动脉压迫综合征一例并文献回顾

目的 探讨腘动脉压迫综合征的临床特征及飞行人员的健康鉴定原则. 方法 分析1例飞行员腘动脉压迫综合征的临床资料,并复习国内外相关文献16篇. 结果 患者以间歇性跛行为首发症状,下肢血管多普勒彩色超声及动脉造影检查发现右侧腘动脉闭塞,下肢血管及腘窝核磁检查提示右侧腓肠肌内侧头起始位置升高,使腘动脉位于股骨内上髁与腓肠肌内侧头之间的狭窄缝隙内. 结论 腘动脉压迫综合征是一种罕见的血管外科疾病,动脉造影、血管超声、CT及MRI对诊断及鉴别诊断具有重要价值,及早诊断有利于指导手术治疗方案和改善患者预后.飞行人员患腘动脉压迫综合征,应个别评定飞行结论 .

One case of pilot with popliteal artery entrapment syndrome and literature review

Objective To investigate the clinical features of popliteal artery entrapment syndrome (PAES) and the criteria of individual aeromedical evaluation. Methods The clinical PAES data of pilot were analyzed and 16 related literatures were reviewed. Results The patient firstly behaved intermittent claudication, and then popliteal artery occlusion was found by duplex Doppler ultrasonography and digital substruction angiography (DSA). MRI and magnetic resonance angiography (MRA) examination showed excessive cranial migration of the medial head of the right gastrocnemius muscle, which compressed popliteal artery. Conclusion Popliteal artery entrapment syndrome is an uncommon congenital anomaly. DSA, ultrasonography, CT and MRI are very helpful in diagnosis and diagnosis identification. Early diagnosis is imperative for surgical intervention option and will have good outcome. Pilot with PAES should be individually evaluated in qualification.