CAJ | 학술논문

目的探讨小口径长球囊血管扩张术治疗治疗糖尿病足及膝下小动脉病变的疗效.方法回顾性分析16例(21条)采用膝下血管球囊扩张术治疗糖尿病足膝下血管狭窄闭塞性病变患者的临床资料.观察手术成功率、并发症、临床疗效和踝肱指数等.结果手术成功率90.5%(19/21),术中无严重并发症.患者术后临床症状明显改善,术后踝肱指数为(0.57±0.23),较术前(0.31±0.15)明显提高(P＜0.05).静息痛者术后疼痛消失9条(60.0%),明显缓解4条(26.7%),减轻2条(13.3%).足坏疽者溃疡愈合4条(66.7%),溃疡面积明显缩小1条(16.7%),高位截肢1条(16.7%).术后随访2条肢体因症状再次加重行二次球囊扩张术.结论小口径长球囊技术用于治疗糖尿病足膝下小动脉病变成功率高,并发症低,疗效确切,可降低患者的病残率.
목적 탐토소구경장구낭혈관확장술치료치료당뇨병족급슬하소동맥병변적료효.방법 회고성분석16례(21조)채용슬하혈관구낭확장술치료당뇨병족슬하혈관협착폐새성병변환자적림상자료.관찰수술성공솔、병발증、림상료효화과굉지수등.결과 수술성공솔90.5%(19/21),술중무엄중병발증.환자술후림상증상명현개선,술후과굉지수위(0.57±0.23),교술전(0.31±0.15)명현제고(P＜0.05).정식통자술후동통소실9조(60.0%),명현완해4조(26.7%),감경2조(13.3%).족배저자궤양유합4조(66.7%),궤양면적명현축소1조(16.7%),고위절지1조(16.7%).술후수방2조지체인증상재차가중행이차구낭확장술.결론 소구경장구낭기술용우치료당뇨병족슬하소동맥병변성공솔고,병발증저,료효학절,가강저환자적병잔솔.
Objective To investigate the effect of percutaneous transluminal angioplasty(PTA) by minor-caliber and long balloon on diabetic patients with below-knee artery. Methods 16 consecutive DM patients(21 limbs)were treated with PTA by minor-caliber and long balloon and followed 7 months(1 ～22 months). The success rate,complication,clinical effects and the changes of ABI were investigated and analyzed. Results The technical success rate is 90.5% (19/21) ,no serious complication occurred. The clinical symptoms of all patients improved after successful PTA. The median ABI marginally increased from the baseline value of (0.31 ±0. 15) to (0.57 ±0.23) after intervention,the difference is significant (P ＜ 0.05). Post-operative pain in patients with rest pain disappeared 9 (60.0%), relieved 4 (26.7%), reduce 2 (13.3 %). Ulcer healing in patients with foot gangrene 4 (66.7 %), Ulcer area was significantly reduced 1 (16.7%), high amputation 1 (16.7%). Postoperative follow-up, two limbs reoperation because of increased symptoms. Conclusion The treatment of percutaneous transluminal angioplasty by minorcaliber and long balloon was effective on diabetic patients with below-knee arterial disease.