CAJ | 학술논문

目的评价糖尿病下肢动脉的血管病变介入治疗的临床效果.方法 2008年1月至2010年10月对我院39例糖尿病足行下肢动脉数字减影血管造影(DSA)检查,其中19例节段性狭窄行介入治疗,经同侧股动脉入路,Seldinger技术穿刺置入导管鞘并交换Amplatz导丝引入球囊扩张狭窄段,反复扩张后置人自膨式网状支架.对照组20例保守治疗.结果所有患者均无死亡,其中介入治疗组13例经皮血管球囊成形术成功,6例血管腔内支架植入成功,对照组2例截肢.结论 PTA和支架置入不仅创伤小、成功率高而且明显的改善下下肢动脉的血液灌注,近期疗效满意,可以大大降低患者的病残率.
목적 평개당뇨병하지동맥적혈관병변개입치료적림상효과.방법 2008년1월지2010년10월대아원39례당뇨병족행하지동맥수자감영혈관조영(DSA)검사,기중19례절단성협착행개입치료,경동측고동맥입로,Seldinger기술천자치입도관초병교환Amplatz도사인입구낭확장협착단,반복확장후치인자팽식망상지가.대조조20례보수치료.결과 소유환자균무사망,기중개입치료조13례경피혈관구낭성형술성공,6례혈관강내지가식입성공,대조조2례절지.결론 PTA화지가치입불부창상소、성공솔고이차명현적개선하하지동맥적혈액관주,근기료효만의,가이대대강저환자적병잔솔.
Objective To asscess the changes of peripheral arteries and interventional treatment of diabetic foot ulcers.Methods Thirty-six diabetic patients with foot ulcers were examined by lower extremity digital subtraction angiography ( DSA ) with simultaneous ultrasonic Doppler examination for correlative study and interventional treatment was carried out in 19 segmental stenotic cases.20 cases had conservative treatment.Results All patients survived.Among them,13 patients were treated by percutaneous transluminal angioplasty( PTA ) and 6 patients by intravascular stenting.Conservative treatment group had 2 cases of amputation.Conclusions PTA and stent placement is not only minimally invasive,highly successful but also can significantly improve lower extremity arterial blood perfusion.The short-term treatment is satisfactory and can reduce patient morbidity.