糖尿病外周血管病变的诊断与介入治疗  

Diagnosis and interventional treatment for diabetic peripheral vascular disease

作　　者：李茂全[1] 冯波[1] 

机构地区：[1]上海同济大学附属东方医院,200120

出　　处：《介入放射学杂志》2006年第7期441-444,共4页Journal of Interventional Radiology

摘　　要：糖尿病患者易发生外周血管病,这一并发症已日益受重视。本文重点讨论糖尿病血管病变介入治疗的疗效和限度,影像学检查和随访的合理方案,术前肢体功能以及全身状况评价。具体治疗时,主要探讨溶栓剂量和物理取栓方案。为了对糖尿病血管病变的介入治疗有理性认识,对介入方法选择,对单发和多发病变处理,及其术后治疗都要充分的认识。Diabetes is common in men and women aged 50 years and older often complicated with peripheral arterial disease （PAD） arousing more serious attention by vascular surgeon and interventional radiologist. The present review of this article put the main focus on curative effect and limitation of intravascular treatment for patients with diabetic PAD, including proper medical imagings for suitable follow-up and formation of regular managing program for accessing limb function and whole body condition. Furthermore the dosage and proceduce of medical thrombolysis in dealing diabetic PVD, together with the possibility of mechanical thrombolysis approach should expecially emphasized. For further objective acknowledgement of interventional therapy for diabetic PVD ; the selection of interventional procedune, the management of single or mutliple lesions and post procedural treatment ought to be considered thoroughly before hard. （J Intervent Radiol, 2006, 15：441 -444）

关 键 词：糖尿病 外周病变 诊断 治疗 

分 类 号：R587.2[医药卫生—内分泌]