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| 糖尿病足下肢动脉硬化症的介入治疗 | |
| 引用本文： | 贾玉柱,陆海华,杨光钊.糖尿病足下肢动脉硬化症的介入治疗[J].临床放射学杂志,2011,30(5). |
| 作者姓名： | 贾玉柱 陆海华 杨光钊 |
| 作者单位： | 1. 310009,浙江大学医学院附属第二医院放射科;310012,浙江省立同德医院放射科 2. 浙江省立同德医院放射科,310012 3. 浙江大学医学院附属第二医院放射科,310009 |
| 摘 要： | 目的探讨糖尿病足患者下肢动脉硬化症血管介入治疗的方法及其临床价值。资料与方法采用Seldinger技术,经股动脉顺行或逆行穿刺插管,对12例患者15条患肢行数字减影血管造影(DSA),对下肢动脉行球囊成形术联合释放支架,并于2周、4周对比跟踪治疗效果。结果所有手术均成功,患肢血流均明显改善;治疗后4周麻木、疼痛、皮温低、发紫等临床症状较治疗前有明显的改善(χ2=6.85,χ2=6.95,χ2=7.02,χ2=7.33,P均<0.01);治疗后4周踝肱指数(ABI)(0.80±0.13)明显高于治疗前(0.62±0.10)(t=3.412,P<0.01);治疗后4周管腔狭窄程度较治疗前有明显的改善(χ2=6.35,χ2=6.84,χ2=6.92,P均<0.01);超声示血管内径治疗后较治疗前增加(t=0.412,P<0.05)。结论介入治疗糖尿病足,微创、安全、有效,对糖尿病足下肢动脉介入治疗近期疗效满意,可明显改善患肢血供。 |
| 关 键 词： | 糖尿病足 介入治疗 下肢动脉硬化症 |
Interventional Treatment of Lower Limb Arteriosclerosis in Diabetic Foot |
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| JIA Yuzhu,LU haihua,YANG Guangzhao.Interventional Treatment of Lower Limb Arteriosclerosis in Diabetic Foot[J].Journal of Clinical Radiology,2011,30(5). | |
| Authors: | JIA Yuzhu LU haihua YANG Guangzhao |
| Institution: | JIA Yuzhu,LU haihua,YANG Guangzhao Department of Radiology,No.2 Affiliated Hospital,Medical School of Zhejiang University,Hangzhou 310009,P.R.China |
| Abstract: | Objective To investigate interventional treatment method of lower limb arteriosclerosis in diabetic foot and its clinical value.Materials and Methods Through the femoral artery puncture antegrade or retrograde intubation by Seldinger technique methods,the limb arteriography in 12 patients with diabetic foot were undertaken by digital subtraction angiography(DSA).Arteriosclerosis was found in 15 lower limbs,angioplasty combined eluting stent were implemented,and the curative effect at 2 weeks,4 weeks was com... |
| Keywords: | Diabetic foot Intervention treatment Lower limb arteriosclerosis |
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