2型糖尿病合并下肢血管病变介入治疗探讨  

Interventional Treatment for the Patients with Type 2 Diabetes Combined with Vascular Lesions of Lower Extremities

作　　者：李莎[1,2] 刘西平[1,3] 钟晓卫[1,2] 周政[1,4] 梁炜[1,4] 罗静[1,4] 周鸿[1,5] 付徐泉[1,2] 刘宜东[1,2] 

机构地区：[1]重庆医科大学附属成都第二临床学院 [2]成都市第三人民医院内分泌科,成都610031 [3]成都市第三人民医院介入治疗科,成都610031 [4]成都市第三人民医院骨科,成都610031 [5]成都市第三人民医院彩超室,成都610031

出　　处：《华西医学》2011年第1期15-17,共3页West China Medical Journal

基　　金：四川省卫生厅科研课题(090051)~~

摘　　要：目的探讨2型糖尿病合并下肢血管病变血管内介入治疗的临床意义。方法 2009年1 5月对4例2型糖尿病合并下肢血管病变患者,根据血管狭窄情况选择不同介入治疗方式,行下肢动脉造影及动脉球囊扩张或支架成形术。结果 4例患者均有表现静息痛及间歇性跛行,下肢血管超声显示糖尿病下肢动脉有不同程度的斑块、狭窄与血栓形成,病变累及下肢股动脉、髂动脉及胫前、足背动脉。介入治疗后患者下肢血管灌注得到明显改善,静息痛及间歇性跛行明显改善,皮温改善,需要截肢患者截肢平面显著降低。结论通过下肢血管DSA造影检查,准确了解糖尿病患者下肢血管的阻塞部位及程度,在保守治疗基础上选择不同方式的介入治疗,有助于下肢血管病变的明显改善。Objective To investigate the clinical significance of intervention therapy for patients with type 2 diabetes combined with vascular lesions of lower extremities.Methods From January to May,2009,four diabetic patients with vascular lesions of lower extremities were examined by Doppler ultrasonography and digital subtration angiography（DSA）.All patients were treated by percutaneous transluminal angioplasty（PTA） or stenting therapy.Results Stenoses and obstruction of lower extremity blood vessels were observed in all patients.After intervention therapy,vascular perfusion of lower extremities was improved and signs of rest pain and intermittent claudication were relieved;the skin temperature was improved,and the amputation level was apparently decreased.Conclusion It suggests that DSA is effective in judging extend and location of blood vessel stenosis,and the interventional treatment could lead to a satisfying prognosis

关 键 词：2型糖尿病 糖尿病血管病变 糖尿病足 下肢 血管介入治疗 

分 类 号：R587.2[医药卫生—内分泌]