糖尿病足的介入治疗及术前CTA评估  

CTA assessment and interventional treatment for diabetic foot

作　　者：王瑞敏[1] 徐锐[1] 李建龙[1] 相成[1] 延宏[1] 

机构地区：[1]山东省日照市人民医院影像科,276826

出　　处：《中国实用医刊》2011年第15期36-38,共3页Chinese Journal of Practical Medicine

基　　金：基金项目：山东省日照市科技发展基金（7407）

摘　　要：目的探讨糖尿病足下肢血管影像特征及综合介入治疗的临床价值。方法对25例糖尿病足患者介入术前行CT血管造影（CTA）检查，对其中19例患者分别或同时采用经导管局部尿激酶溶栓术、经导管血栓抽吸术、血管腔内球囊成形术、血管内支架植入术等多种介入治疗方法。结果糖尿病足下肢动脉同时存在不同程度的狭窄与闭塞，尤其是膝下动脉的狭窄、闭塞；综合介入治疗可以改善糖尿病足下肢动脉血供，近期疗效令人满意。结论CTA检查可以准确显示下肢动脉病变部位及程度，对选择合适介入治疗方案可以提供有效的信息；对糖尿病足的综合介入治疗疗效满意，可显著降低患者的病残率。Objective To evaluate the imaging features of peripheral arteries and clinic value of interventional treatment for diabetic foot. Methods Twenty -five patients with diabetic foot were examined by CTA in lower extremity before interventional treatment. Ninteen cases were performed with diffrence or simultaneously interventional treatment methods： transcatheter urokinase thrombolysis, transcatheter thrombus suction, percutaneous transluminal angioplasty with balloom, percutaneous translumi- hal angioplasty with self- expandable stent. Results Lower extremity of diabetic patients had different extent stenosis and occlusion, especially with below -knee artery; synthetic interventional treatment can improve blood perfusion of lower extremity and foreseen efficacy. Conclusions CTA can assess the location and extent of arterial lesion, it will provide suitable teatment method and assessment convenience; synthetic interventional treatment could give satisfactory therapeutic effect and reduce morbidity.

关 键 词：糖尿病足 下肢动脉 介入治疗 血管成形术 血管内支架 

分 类 号：R587.2[医药卫生—内分泌] R632.1[医药卫生—内科学]