Ultrasonic Image Research and Clinical Application of Arteriae Surales_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

LIANG Shuangchao , HU Jiqiong , SI Chunqiang , XUE Qingquan , XIA Youchuan

Department of Vascular Surgery, Yijishan Hospital, Wannan Medical College, Wuhu 241000, Anhui Province, China;

Corresponding author：

Keywords：

Color Doppler ultrasound; Arteriae surales; Popliteal artery; Atherosclerosis; Outflow tract

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Objective To investigate theory guidance for preoperative appraisal of advanced stage lower limb arteriosclerosis obliterans and clinical application of arteriae surales. Methods From September 2007 to June 2008, one hundred cases without obviously arteriosclerosis were collected to accepted color Doppler ultrasonography, and parameters of the arteriae surales were observed， such as location, macro-body morphous, caliber, and blood parameters value, meanwhile the caliber and blood parameters value of anterior tibial artery and posterior tibial artery were also measured. Results Detection rate of arteriae surales was 96% (96/100). Arteriae surales located midpiece sequentiae of popliteal fossa, and above flatfish tendinous arch, which in 89 cases were geminous branched from popliteal artery; in the remaining 7 cases, popliteal artery diverged a bole, walked 1-3 cm, then diverged two branches and ingressed gastrocnemius. Diameter and cross section area of arteriae surales were smaller than those of anterior tibial artery and posterior tibial artery (P＜0.05）, but peak flow rate of systolic phase, maximum positive direction flow rate of relaxing period and mean flow rate were not significantly differents between arteriae surales and anterior tibial artery or posterior tibial artery （P＞0.05）. The flow of geminous arteriae surales was 63.1% of anterior tibial artery, and 59.1% of posterior tibial artery. Conclusion Through the ultrasonic study, it is significant for clinical therapy to master the normal anatomy, blood parameters value and flow of arteriae surales.

Citation： LIANG Shuangchao,HU Jiqiong,SI Chunqiang,XUE Qingquan,XIA Youchuan. Ultrasonic Image Research and Clinical Application of Arteriae Surales. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2009, 16(6): 433-436. doi: Copy

1.	胡骥琼, 王道明, 司春强, 等. 下肢动脉粥样硬化闭塞症截肢残体的血管解剖及临床意义 [Ｊ]. 中国普外基础与临床杂志, 2008; 15(6): 412-415.
2.	胡骥琼, 王道明, 司春强, 等. 股腘动脉旁路转流术中侧支循环流出道重建的临床效果 [Ｊ]. 中国临床药理学与治疗学, 2007; 12（1）: 119-120.
3.	胡骥琼, 王道明, 司春强, 等. 下肢动脉硬化闭塞症侧支循环流出道的解剖学特点及临床应用初探 [Ｊ]. 中国修复重建外科杂志， 2008; 22(5): 571-574.
4.	周永昌，郭万学主编. 超声医学 [Ｍ]. 北京: 科学技术文献出版社, 2002: 795-796.
5.	Shigematsu H. Endovascular procedures for peripheral arterial disease [Ｊ]. Nippon Geka Gakkai Zasshi, 2003; 104(8): 562-566.
6.	刘昌伟, 管珩, 李拥军, 等. 术中髂动脉支架结合股腘动脉旁路术治疗多节段动脉硬化闭塞症 [Ｊ].中华外科杂志, 2001; 39(1): 29-31.
7.	Siablis D, Kraniotis P, Karnabatidis D, et al. Sirolimus-eluting versus bare stents for bailout after suboptimal infrapopliteal angioplasty for critical limb ischemia: 6-month angiographic results from a nonrandomized prospective single-center study [Ｊ]. J Endovasc Ther, 2005; 12(6): 685-695.
8.	Siablis D, Karnabatidis D, Katsanos K, et al. Sirolimus-eluting versus bare stents after suboptimal infrapopliteal angioplasty for critical limb ischemia: enduring 1-year angiographic and clinical benefit[Ｊ]. J Endovasc Ther, 2007; 14(2): 241-250.
9.	Bosiers M, Deloose K, Verbist J, et al. Nitinol stenting for treatment of “below-the-knee”critical limb ischemia: 1-year angiographic outcome after Xpert stent implantation [Ｊ]. J Cardiovasc Surg (Torino), 2007; 48(4): 455-461.
10.	吴丹明, 王成刚, 易巍, 等. 血管内超声消融术治疗难治性下肢动脉硬化闭塞症31例报告 [Ｊ]. 中国实用外科杂志, 2004; 24(4): 219-220.
11.	Huang P, Li S, Han M, et al. Autologous transplantation of granulocyte colony-stimulating factor-mobilized peripheral blood mononuclear cells improves critical limb ischemia in diabetes [Ｊ]. Diabetes Care, 2005; 28(9): 2155-2160.
12.	缪健航, 师天雄, 胡锡祥, 等. 自体外周血干细胞移植治疗下肢动脉缺血性疾病的临床应用 [Ｊ]. 中国普外基础与临床杂志, 2008; 15(2): 106-108.
13.	宋一平, 张发惠, 刘宏滨, 等. 腓肠神经-小隐静脉营养血管远端蒂皮瓣临床应用的改进 [Ｊ]. 中国临床解剖学杂志, 2005; 23(4): 361-364.
14.	温广明, 罗盛康, 黄美贤, 等. 选择性腓肠肌肌支切断小腿减肥术应用解剖 [Ｊ]. 中国临床解剖学杂志, 2006; 24(6): 605-609.
15.	Al-Qattan MM. A modified technique for harvesting the reverse sural artery flap from the upper part of the leg: inclusion of a gastrocnemius muscle “cuff”around the sural pedicle [Ｊ]. Ann Plast Surg, 2001; 47(3): 269-274.
16.	任路萍, 阎敏芳. 彩色多普勒超声在下肢动脉疾病诊断中的应用 [Ｊ]. 中华临床医学研究杂志, 2003; 12(82): 13649-13650.

1. 胡骥琼, 王道明, 司春强, 等. 下肢动脉粥样硬化闭塞症截肢残体的血管解剖及临床意义 [Ｊ]. 中国普外基础与临床杂志, 2008; 15(6): 412-415.
2. 胡骥琼, 王道明, 司春强, 等. 股腘动脉旁路转流术中侧支循环流出道重建的临床效果 [Ｊ]. 中国临床药理学与治疗学, 2007; 12（1）: 119-120.
3. 胡骥琼, 王道明, 司春强, 等. 下肢动脉硬化闭塞症侧支循环流出道的解剖学特点及临床应用初探 [Ｊ]. 中国修复重建外科杂志， 2008; 22(5): 571-574.
4. 周永昌，郭万学主编. 超声医学 [Ｍ]. 北京: 科学技术文献出版社, 2002: 795-796.
5. Shigematsu H. Endovascular procedures for peripheral arterial disease [Ｊ]. Nippon Geka Gakkai Zasshi, 2003; 104(8): 562-566.
6. 刘昌伟, 管珩, 李拥军, 等. 术中髂动脉支架结合股腘动脉旁路术治疗多节段动脉硬化闭塞症 [Ｊ].中华外科杂志, 2001; 39(1): 29-31.
7. Siablis D, Kraniotis P, Karnabatidis D, et al. Sirolimus-eluting versus bare stents for bailout after suboptimal infrapopliteal angioplasty for critical limb ischemia: 6-month angiographic results from a nonrandomized prospective single-center study [Ｊ]. J Endovasc Ther, 2005; 12(6): 685-695.
8. Siablis D, Karnabatidis D, Katsanos K, et al. Sirolimus-eluting versus bare stents after suboptimal infrapopliteal angioplasty for critical limb ischemia: enduring 1-year angiographic and clinical benefit[Ｊ]. J Endovasc Ther, 2007; 14(2): 241-250.
9. Bosiers M, Deloose K, Verbist J, et al. Nitinol stenting for treatment of “below-the-knee”critical limb ischemia: 1-year angiographic outcome after Xpert stent implantation [Ｊ]. J Cardiovasc Surg (Torino), 2007; 48(4): 455-461.
10. 吴丹明, 王成刚, 易巍, 等. 血管内超声消融术治疗难治性下肢动脉硬化闭塞症31例报告 [Ｊ]. 中国实用外科杂志, 2004; 24(4): 219-220.
11. Huang P, Li S, Han M, et al. Autologous transplantation of granulocyte colony-stimulating factor-mobilized peripheral blood mononuclear cells improves critical limb ischemia in diabetes [Ｊ]. Diabetes Care, 2005; 28(9): 2155-2160.
12. 缪健航, 师天雄, 胡锡祥, 等. 自体外周血干细胞移植治疗下肢动脉缺血性疾病的临床应用 [Ｊ]. 中国普外基础与临床杂志, 2008; 15(2): 106-108.
13. 宋一平, 张发惠, 刘宏滨, 等. 腓肠神经-小隐静脉营养血管远端蒂皮瓣临床应用的改进 [Ｊ]. 中国临床解剖学杂志, 2005; 23(4): 361-364.
14. 温广明, 罗盛康, 黄美贤, 等. 选择性腓肠肌肌支切断小腿减肥术应用解剖 [Ｊ]. 中国临床解剖学杂志, 2006; 24(6): 605-609.
15. Al-Qattan MM. A modified technique for harvesting the reverse sural artery flap from the upper part of the leg: inclusion of a gastrocnemius muscle “cuff”around the sural pedicle [Ｊ]. Ann Plast Surg, 2001; 47(3): 269-274.
16. 任路萍, 阎敏芳. 彩色多普勒超声在下肢动脉疾病诊断中的应用 [Ｊ]. 中华临床医学研究杂志, 2003; 12(82): 13649-13650.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Ultrasonic Image Research and Clinical Application of Arteriae Surales

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