摘要
目的总结Deep球囊腔内成形术（percutaneous transluminal angioplasty，胛A）对糖尿病性膝下动脉闭塞症的近中期治疗效果。方法采用Deep球囊腔内成形术治疗糖尿病性膝下动脉闭塞症73例（86条患肢131条血管），分析数字减影血管造影（digital substraction angiography，DSA）表现，围手术期临床资料及手术并发症，随访观察膝下动脉球囊扩张术后近中期治疗效果。结果86条患肢手术技术成功79条（91．86％），术后膝下动脉血流灌注明显改善，静息痛及间歇性跛行减轻，皮温升高，踝肱指数较术前明显升高。术中并发症6．85％（5／73），术后并发症8．22％（6／73），无围手术期死亡病例。术后1、2、3、4、5年失访人数分别为0例、4例、9例、10例、13例；随访5年平均患肢膝下动脉再狭窄率16．53％，疼痛复发率28．11％，溃疡发生率10．95％，截肢率12．49％。结论Deep球囊腔内成形术治疗糖尿病性膝下动脉闭塞症具有较高的安全性，近中期疗效良好。
Objective To investigate short and mid-term therapeutic effect of deep balloon percutaneous transluminal angioplasty （FFA） for diabetic infrapopliteal artery occlusive disease. Methods Diabetic infrapopliteal artery occlusions in 73 cases （86 limbs and 131 vessels） were recanalized using deep balloon angioplasty. Digital substraction angiography （DSA） imaging was performed. Perioperative clinical data and surgical complications was analyzed. The short and mid term therapeutic effect was observed. Results 79 of 86 （91.86%） occluded limbs were reeanalized after PTA, postoperative artery perfusion improved obviously below the knee, resting pain and intermittent claudication were relieved, while skin temperature improved. The ankle brachial index was higher than that of the preoperative period. Intraoperative complications developed in 6. 85% （5/73） cases, while postoperative complications occurred in 8.22% （6/73）. There was no perioperative mortality. There were 0 cases, 4 cases, 9 cases, 10 cases, and 13 cases respectively lost to followed up after 1,2, 3,4 and 5 years. The average restenosis rate below knee artery was 16. 53% , pain recurred in 28.11% , ulcer recurrence was 10. 95% ,and limbs amputation rate was 12.49% in five years. Conclusions Deep balloon angioplasty is safe and effective for the treatment of diabetic infrapopliteal arterial occlusive disease as evidenced by short to mid-term follow-up results.
出处
《中华普通外科杂志》
CSCD
北大核心
2014年第4期272-275,共4页
Chinese Journal of General Surgery
基金
浙江省瑞安市科技计划基金资助项目（201002057）
