膝下动脉腔内成形术治疗重症糖尿病肢体血管病变  

Inferior genicular artery percutaneous transluminal angioplasty in diabetic patients with severe peripheral vascular lesion

作　　者：鞠上[1] 杨博华[1] 林冬阳[1] 李友山[1] 路红[1] 刘凤桐[1] 

机构地区：[1]北京中医药大学东直门医院周围血管科,100700

出　　处：《疑难病杂志》2008年第7期394-396,共3页Chinese Journal of Difficult and Complicated Cases

摘　　要：目的观察膝下动脉腔内成形术治疗重症糖尿病肢体血管病变的近期疗效,初步评估其临床价值。方法29例重症糖尿病肢体血管病变患者采用INVATEC-DEEP球囊进行膝下动脉腔内成形,观察治疗前后的症状、体征、踝肱指数(ABI)、肢端的经皮氧分压(TcPO2)并进行随访。结果29例患者(共29条肢体),术后即刻影像学成功率62.1%。全部随访6个月,手术未成功的患者6个月存活率88.9%,肢体存活率83.3%;手术未成功的患者6个月存活率72.7%,肢体存活率27.3%,二者比较,差异有统计学意义(P<0.05)。结论对于糖尿病重症肢体血管病变患者,膝下动脉腔内成形术具有一定的成功率,能够提高保肢率和降低病死率,是值得尝试的方法。Objective To observe the short-term therapeutic results of inferior genicular artery percutaneous transluminal angioplasty(PTA)in diabetic patients with severe peripheral vascular lesion,and to evaluate the preliminary clinical significance.Methods From October,2006 to August 2007,consecutive 29 diabetic patients with severe peripheral vascular lesion underwent inferior genicular artery PTA treatment with INVATEC-DEEP balloon.The symptoms,signs,ABI,TcPO2 were observed pre and post treatment and follow up.Re...

关 键 词：血管腔内成型术 膝下动脉 糖尿病 肢体血管病变 微创 

分 类 号：R587.2[医药卫生—内分泌]