糖尿病足的血管介入治疗18例体会

目的:探讨糖尿病足腔内血管介入治疗的可行性。方法:18例糖尿病足患者,Fontaine分期:Ⅱb期6例,Ⅲ期9例,Ⅳ期3例,术前行多普勒彩超、CT血管造影(CTA)或磁共振血管造影(MRA)检查,选择顺或逆行股动脉穿刺,数字减影动脉造影(DSA)机下行下肢动脉包括膝下动脉经皮腔内血管成形(PTA)+支架成形术。结果:18例病人技术成功率100%,保肢率100%,下肢皮温变暖,行走功能明显改善。结论:腔内血管介入治疗因为微创、可重复性强、病人身体条件易承受、保肢率高,应成为恢复糖尿病足缺血血供的首选治疗手段。

Clinical Effect of Interventional Therapy in 18 Cases of Diabetic Foot

Objective: To study the clinical effect of interventional therapy on diabetic foot.Methods: Eighteen patients with diabetic foot,including 6 cases in Ⅱb period,9 cases in Ⅲ period,and 3 cases in Ⅳ period according to the Fontaine staging,were underwent color Doppler ultrasound,CTA,or MRA examination before operation.All the patients were carried out PTA or stent-implantation on arteries of lower extremity including inferior genicular arteries under DSA guidance.Results: The technical successful rate was 100%,and the ratio of extremity protecting was 100% with warmer skin and better walking function.Conclusion: Interventional therapy is important for the treatment of diabetic foot,because it is a micro-trauma and reliable method,and is more acceptable for patients,and has a higher rate for extremity protecting.