■pop动脉卡压综合征(PAES)是一种罕见的疾病,其中pop动脉被相邻的软组织结构压缩,导致进行性跛行。由于发病率低,该疾病及其手术治疗在文献中描述甚少。这项研究提供了我们围绕PAES管理的机构数据,以进一步优化对该综合征的护理。
■这项回顾性研究收集了人口学,外科,以及2015年至2022年在我们机构接受手术减压的所有PAES患者的结局数据。使用CPT和ICD-9/10代码鉴定患者。计算了汇总统计数据,亚组分析采用卡方检验和T检验。
■确定了50例PAES手术患者。平均而言,他们年轻(平均年龄:20.7岁),主要是女性(78%),以白色为主(68%)。绝大多数人身体活跃,50名患者中有13名是跑步者(26%)。医学上,队列在其他方面是健康的,74%的人报告没有合并症。诊断经常延迟,在到达我们的护理机构之前,患者平均在2.0年内看4.5名医生。除了动脉释放外,第二多的手术是筋膜切开术(82%).术后,有显著的长期主观改善,91%的患者报告他们会重复手术,65%的患者报告活动改善。
■PAES是一种罕见的影响下肢的疾病,需要采用细微的手术方法。从诊断到结果,我们希望更好地告知外科医生PAES,以便这些患者可以接受最高质量的护理。
UNASSIGNED: Popliteal artery entrapment syndrome (PAES) is a rare condition in which the popliteal artery becomes compressed by adjacent soft tissue structures causing progressive claudication. Due to its low incidence, this disorder and its surgical management is poorly described in the literature. This study presents our institutional data surrounding PAES management to further optimize care of this syndrome.
UNASSIGNED: This retrospective study gathered demographic, surgical, and outcome data of all patients with PAES who underwent surgical decompression at our institution from 2015 to 2022. Patients were identified using CPT and ICD-9/10 codes. Summary statistics were calculated, with Chi-squared and T-test used for subgroup analysis.
UNASSIGNED: 50 surgical patients with PAES were identified. On average, they were young (mean age: 20.7 years), mostly female (78 %), and predominately white (68 %). The vast majority were physically active, with 13 of the 50 patients being runners (26 %). Medically, the cohort was otherwise healthy, with 74 % reporting no comorbidities. Diagnosis was often delayed, with patients on average seeing 4.5 physicians over 2.0 years prior to arriving at our institution for care. In addition to popliteal artery release, the second most performed procedure was fasciotomy (82 %). Postoperatively, there was significant long-term subjective improvement, with 91 % of patients reporting they would repeat the operation and 65 % reporting improved activity.
UNASSIGNED: PAES is a rare condition affecting the lower limb that requires a nuanced surgical approach. From diagnosis to outcome, we hope to better inform surgeons of PAES so that these patients may receive the highest quality care.