介入治疗糖尿病足的疗效观察  

Therapeutic Effect of Interventional Treatment in Diabetic Foots

作　　者：王丽云[1] 葛坤元[2] 谢伯欣[1] 王铮[1] 张操[1] 王翔[1] 宗俊杰[1] 

机构地区：[1]江苏大学附属宜兴医院内分泌科,江苏宜兴214200 [2]江苏大学附属宜兴医院介入治疗科,江苏宜兴214200

出　　处：《临床医学工程》2011年第11期1716-1718,共3页Clinical Medicine & Engineering

摘　　要：目的观察糖尿病足患者行血管内介入治疗的临床疗效。方法对15例糖尿病患者行下肢动脉数字减影血管造影(DSA)检查,并根据DSA检查情况选择合适的介入治疗方式,其中11例行血管内球囊成形治疗,3例行腔内支架植入。分析糖尿病下肢血管病变的特点,评价疗效、并发症的情况。结果介入治疗组15例患者共18条患肢,介入治疗后,患者临床症状、体征均明显缓解,踝肱指数(ABI)明显升高,与传统治疗组相比,差异具有统计学意义。结论下肢血管DSA造影检查可以准确了解糖尿病患者下肢血管病变阻塞部位及程度。血管内介入治疗糖尿病足安全、有效,值得临床应用和进一步推广。Objective To observe the therapeutic effect of interventional treatment in diabetic foots. Methods Fifteen patients with diabetic foot were examined by digital subtraction angiography （DSA）. The proper treatment were chosen as results of DSA. 11 patients were treated by percutaneous transluminal angioplasty （PTA） and 3 patients were treated by stenting therapy. The features of vascular lesion of lower extremities were analyzed. The effect of and complication of therapy were measured. Results Fifteen patients （18 limbs） through interventional therapy were accepted interventional therapy. The symptoms and physical signs were obviously relieved. ABI was raised obviously. There was a significant difference between interventional therapy team and traditional therapy team. Conclusion DSA can assess the extent of arterial changes. Intravascular interventional therapy is safe, effective and valuable for diabetic patients with diabetic foots.

关 键 词：糖尿病足 下肢动脉 介入治疗 

分 类 号：R587.1[医药卫生—内分泌] R815[医药卫生—内科学]