膝下动脉球囊成形术及溶栓介入治疗糖尿病足的价值(附19例分析)  

Treatment for diabetic foot with PTA and thrombolysis via inferior genicular artery

作　　者：徐锐[1] 相成[1] 朱甲峰[1] 刘鑫[2] 范海伦[2] 

机构地区：[1]山东省日照市人民医院介入放射科,山东日照276826 [2]天津医科大学总医院介入放射科,天津300070

出　　处：《医学影像学杂志》2010年第7期1023-1026,共4页Journal of Medical Imaging

基　　金：山东省日照市科技发展基金(7407)

摘　　要：目的:探讨膝下动脉球囊成形术及保留导管溶栓术在介入治疗糖尿病足的临床价值。方法:对19例糖尿病足患者介入术前行CTA检查,对31个下肢用Seldinger技术,经股动脉顺行穿刺插管,分别对膝下动脉病变采用经血管腔内球囊成形术、保留导管溶栓术等多种介入治疗方法。结果:介入治疗后患肢血流改善明显,狭窄性病变开通率明显大于闭塞性病变。皮温明显升高,行走距离显著增加,溃疡愈合加快。结论:膝下动脉球囊成形术及保留导管溶栓治疗微创、安全、有效,可以改善糖尿病足下肢动脉血供,近期疗效令人满意。Objective：To evaluate clinic value of interventional treatment for diabetic foot by the combination of PTA（percutaneous transluminal angioplasty） with balloon and retein catheter thrombolysis in inferior genicular artery.Methods：19 patients with diabetic foot were examined by CTA in lower extremity before interventional treatment.Among 19 cases,31 lower limbs were performed with antegrade puncture interventional treatment methods： PTA with balloon,retain catheter Urokinase thrombolysis.Results：After treatment,the blood flow of affected limb was improved obviously,stenosis lesion was easy to get throught than obstruction vessels,the skin temperature increased.Patient can walk longer,meanwhile,ulcer of foot get healing.Conclusion：PTA and retein catheter thrombolysis is safe useful and effective method for diabetic foot,it can improve the blood flow of lower limb and have satisfaction therapeutic effect.

关 键 词：糖尿病足 膝下动脉 球囊成形术 溶栓 介入治疗 

分 类 号：R587.2[医药卫生—内分泌] R587.2[医药卫生—内科学]