| 糖尿病对血管重建治疗慢性重症下肢缺血的影响 |
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| 引用本文： | 廖传军|姜涛|杨宝钟. 糖尿病对血管重建治疗慢性重症下肢缺血的影响[J]. 中国普通外科杂志, 2011, 20(6): 575-578 |
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| 作者姓名： | 廖传军|姜涛|杨宝钟 |
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| 作者单位： | 首都医科大学附属北京朝阳医院血管外科;吉林油田总医院普外二科; |
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| 摘 要： | 目的评价糖尿病对血管重建(腔内及手术)治疗慢性重症下肢缺血的影响。方法回顾性分析3年间北京朝阳医院因慢性重症下肢缺血行下肢血管重建治疗的121例患者(130条肢体)的临床资料。其中,糖尿病组(DM组)55例(60条肢体),行动脉转流手术27条肢体,单纯经皮动脉球囊扩张(PTA)9条肢体,PTA+支架20条肢体,转流手术+腔内治疗杂交手术4条肢体;非糖尿病组(NDM组)66例(70条肢体),行动脉转流手术28条肢体,单纯PTA 10条肢体,PTA+支架24条肢体,转流手术+腔内治疗杂交8条肢体。随访3~36个月,比较两组患者的围手术期病死率、术后1年生存率及保肢率。结果围手术期病死率DM组为9.1%,NDM组为6.1%,两组差异无统计学意义(P>0.05);术后1年生存率DM组为88.1%,NDM组为93.1%,两组差异亦无统计学意义(P>0.05);术后1年保肢率DM组为81.6%,NDM组为83.4%,两组差异亦无统计学意义(P>0.05)。结论对于因慢性重症下肢缺血行下肢血管重建的患者,糖尿病并不增加其围手术期病死率,也不降低其远期生存率及保肢率。笔者认为,对于糖尿病慢性重症下肢缺血患者应积极进行血管重建...
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| 关 键 词： | 糖尿病 重度下肢缺血 血管重建 腔内治疗 |
| 收稿时间： | 2010-02-20 |
| 修稿时间： | 2011-02-17 |
Impact of diabetes mellitus on results of revascularization for chronic critical lower limb ischemia |
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| LIAO Chuanjun,JIANG Tao,YANG Baozhong. Impact of diabetes mellitus on results of revascularization for chronic critical lower limb ischemia[J]. Chinese Journal of General Surgery, 2011, 20(6): 575-578 |
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| Authors: | LIAO Chuanjun JIANG Tao YANG Baozhong |
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| Affiliation: | LIAO Chuanjun1,JIANG Tao2,YANG Baozhong1(1.Department of Vascular Surgery,Affiliated Beijing Chaoyang Hospital,Capital University of Medical Sciences,Beijing 100020,China,2.the Second Department of General Surgery,General Hospital of Jilin Oilfield,Songyuan,Jilin 138000,China) |
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| Abstract: | Objective To investigate the influence of diabetes mellitus(DM) on revascularization(endovascular therapy and open surgery) for chronic critical lower limb ischemia(CLI).Methods The clinical data of 121 patients(130 affected limbs) undergoing revascularization for CLI in Chaoyang hospital within 3 years were retrospectively analyzed.Of the patients,55 cases(60 affected limbs) with DM(DM group) were treated as follows: Twenty-seven limbs underwent artery shunting surgery,9 limbs underwent percutaneous transl... |
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| Keywords: | Diabetes Mellitus Critical Lower Limb Ischemia Revascularization Endovascular Therapy |
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