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介入治疗糖尿病足13例临床观察
引用本文:郭鹏,谢春明,杨敏玲,庞宁东.介入治疗糖尿病足13例临床观察[J].当代医学,2009,15(35):650-651.
作者姓名:郭鹏  谢春明  杨敏玲  庞宁东
作者单位:山西,030001,山西医科大学第一医院放射科
摘    要:目的评价糖尿病足患者血管内介入治疗临床效果。方法13倒患者,累及血管包括股浅动脉、胭动脉和胫、腓动脉,其中7例行血管内球囊成型治疗,6例行腔内支架植入术,同时结合控制血糖,局部换药等治疗措施。结果所有患者血管内治疗均获成功,所有患者肢体血供明显改善,有效促进糖尿病足溃疡愈合。结论DSA血营造影可以早期诊断糖尿病下肢血管病变的程度、范围。介入治疗能改善患足的血供,从而预防控制糖尿病足的发生、发展。糖尿病足血管内介入治疗是安全和有效的,具有积极作用。

关 键 词:糖尿病足  下肢动脉  介入治疗

Clinical observation of interventional treatment in diabetic foot
GUO Peng,XIE Chun-ming,YANG Min-ling,PANG Ning-dong.Clinical observation of interventional treatment in diabetic foot[J].Contemporary Medicine,2009,15(35):650-651.
Authors:GUO Peng  XIE Chun-ming  YANG Min-ling  PANG Ning-dong
Institution:( The Department of Radiology, First Hospital of Shanxi Medical University, Shanxi 030001, China)
Abstract:Objective To assess the clinical effect of interventional treatment in diabetic foot.Methods 13 patients with diabetic foot were enrolled involving superficial femoral,tibial and fitular arteries.Among them 7 patients with irregular stenosis and obstruction were treated with intravascular angioplasty through balloon dilation,and 6 patients treated with intravascular stenting.Results The technical successful rate was 100%,no complication happened.The symptoms were relieved in all patients after treatment,including promotion of lower extremity arterial blood perfusion,reducing range of ampulation and wound healing after amputation.Conclusion DSA can assess the extent of arterial changes and interventional treatment can improve arterial blood perfusion to prevent deterioration of diabetic foot.Intravascular interventional treatment is safe,effective and valuable in diabetic foot.
Keywords:diabetic foot  lower extremity artery  intravascular interventional treatment
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