超声消融联合高压氧治疗糖尿病足的疗效研究  

Ultrasound Ablation and Hyperbaric Oxygen for Treating Patients with Diabetic Feet

作　　者：王寅冬[1] 王爱林[1] 

机构地区：[1]黑龙江省医院,黑龙江哈尔滨150036

出　　处：《中国医学创新》2014年第21期74-76,共3页Medical Innovation of China

基　　金：哈尔滨市青年科技创新人才(2013RFQYJ077)

摘　　要：目的:观察血管内超声消融联合高压氧治疗糖尿病足的疗效。方法:选取52例糖尿病足患者,采用经皮股动脉穿刺或切开显露插入超声消融导管,在动脉造影监视下行血管内超声消融术,术后配合高压氧治疗3个疗程,观察治疗效果。结果:52例糖尿病足患者经超声消融后有45例闭塞动脉再通,手术成功率达86.5%。均配合高压氧治疗3个疗程后,症状全部得到缓解。且患者术后跛行距离增加,冷、凉感觉均得到改善。治疗前后患者的血液流变学情况、经皮氧分压、皮肤温度及踝肱指数比较差异均有统计学意义(P<0.05)。结论:血管内超声消融联合高压氧治疗糖尿病足是一种简单、有效的方法。Objective：To investigate the efficacy of ultrasound ablation and hyperbaric oxygen in treatment of diabetic feet.Method：52 patients with diabetic feet were treated with ultrasound ablation and hyperbaric oxygen. Through percutaneous approach or surgical approach the ultrasound ablation catheter was inserted into occluded arterial segments. After ablation performed by angiography,three course of hyperbaric oxygen therapy was given.Result：52 cases by ultrasound ablation had 45 patients with diabetic feet occluded artery recanalization,surgical success rate was 86.5%. After all 3 period of treatment with hyperbaric oxygen treatment,all symptoms were alleviated. 52 patients with postoperative claudication distance increased,the cold,cool feeling were improved. Before and after treatment in patients with blood rheology,percutaneous oxygen partial pressure,skin temperature and ankle brachial index were compared,the differences were statistically significant（P〈0.05）.Conclusion：Ultrasound ablation and hyperbaric oxygen is a simple,safe and effective method for treating patients with diabetic feet.

关 键 词：超声消融 高压氧 糖尿病足 

分 类 号：R587.2[医药卫生—内分泌]