摘要
目的探讨糖尿病患者膝下血管病变的特点及动脉球囊扩张术(PTA)的临床价值及疗效。方法用改良Seldinger技术,经股动脉顺行或逆行穿刺插管,对25例患者32条患肢行下肢步径模式造影,根据造影情况对膝以下动脉病变行PTA术。结果糖尿病足病变血管范围广,膝以下血管以中重度甚至完全闭塞为主,同时累及2支及3支血管者28条,32条患肢膝以下血管动脉成形术总成功率87.50%。所有介入手术成功者下肢疼痛、麻木感缓解,血流均明显改善,皮温及ABI指数明显升高,溃疡愈合加快。结论经皮血管腔内成形术微创、安全、有效,对糖尿病足膝以下动脉介入治疗近期疗效满意,可明显改善患肢血供,提高患者生活质量。
Objective To discuss the characteristics of below - knee arteries in patients with diabetic foot, and to assess the clinical and therapeutic value of balloon angioplasty in the treatment of diabetic foot. Methods Using a modified Seldinger technique,25 patients （32 lower extremities） were examined with angiography step path mode through antegrade or retrograde puncture femoral arteries, and percutaneous transluminal angioplasty for below - knee arteries was conducted according to angiography situation. Results The lesions of lower ex- tremity in diabetic foot were extensive, most of which had severe stenosis, even complete occlusion including the two and three vessels in 28 lower extremities. The successful rate of PTA in 32 eases was 87.50%. The method was effective in promotion of the lower extremity arterial blood perfusion and remission of the pain and numbness. After therapy, the skin temperature and the ABI index were promoted, and the ulcers were found heal faster than before. Conclusion Percutaneous transluminal angioplasty（PTA） is minimally invasive, safe and effective for diabetic foot below - knee arteries, and the short - term effects are satisfactory, since it can significantly improve lower limb arterial blood supply and improve the quality of life of patients.
出处
《安徽医学》
2013年第12期1773-1775,共3页
Anhui Medical Journal
关键词
球囊扩张术
糖尿病足
膝下动脉
Percutaneous transluminal angioplasty
Diabetic foot
Below - knee arteries
