囊性外膜病误诊原因临床分析.pdfVIP

WZ临床误诊误治2025年1228第38卷第24期ClinicalMisdiagnosisMistherapy,December28,2025,Vol.38,No.24·1

·误诊误治与原因分析·

囊性外膜病误诊原因临床分析

柴渊，王磊，郭松林，雷世雄，吴文昊，蒋婉，庄建煌，张章

空军军医大学第二附属医院血管外科，西安710032

【摘要】目的探讨囊性外膜病(CAD)误诊误治原因及防范措施。方法回顾性分析2020年9月至2023年10月

收治的3例曾误诊的CAD患者的临床资料。结果1例因严重间歇性跛，经相关检查误诊为腘动脉粥样硬化性闭塞

症；2例因下肢水肿，经相关检查误诊为下肢深静脉栓及淋巴管囊肿各1例。3例均于外院误诊。入院后给予相关医技

检查后确诊CAD。3例误诊时间7~15d。确诊后行“血管探查+囊肿切除术”治疗；术后复查动脉、静脉超声提示血管管

腔通畅，未见复发。结论CAD和动脉粥样硬化性闭塞或血栓导致的血流受阻在影像学上存在相似性，不易鉴别。因

此临床医生应该根据患者情况及检查结果综合判断，必要时切除活检以明确诊断，减少误诊误治。

【关键词】囊性外膜病；误诊；动脉粥样硬化性闭塞症；深静脉血栓；超声；病理学检查

[DOI]10.3969/j.issn.1002-3429.2025.24.001

Clinicalanalysisofmisdiagnosiscausesofcysticadventitialdisease

2

CHAIYuan,WANGLei,GUOSonglin,LEIShixiong,WUWenhao,JIANGWan,ZHUANGJianhuang,ZHANGZhang

DepartmentofVascularSurgery,theSecondAffiliatedHospitalofAirForceMilitaryMedicalUniversity,Xian710032,China

Correspondingauthor:ZHANGZhang,E-mail:zhangz0613@163.com

IObjectiveToinvestigatethecausesofmisdiagnosisandmistreatmentofcysticadventitialdisease(CAD)

【Abstract】

andpreventivemeasures.MethodsAretrospectiveanalysiswasconductedontheclinicaldataof3patientswithmisdiagnosed

CADadmittedfromSeptember2020toOctober2023.ResultsOnepatientwasmisdiagnosedwithpoplitealartery

atheroscleroticocclusionduetosevereintermittentclaudicationuponrelevantexaminations,andtwopatientsweremisdiagnosed

aslowerextremitydeepveinthrombosisandlymphangialcystrespectivelyduetothepresenceoflowerlimbedemaafterrelated

examinations.Allthreepatientsweremisdiagnosedatotherhospitals.Afteradmission,relevantmedicaltechnicalexaminati