CAJ | 학술논문

目的探讨经皮腔内血管成形术（PTA）联合支架植入术治疗糖尿病足性血管病变术后应用的临床疗效。方法回顾性分析我院2009.1-2010.6应用PTA联合支架植入术治疗糖尿病足性血管病变18例，对照组18例给予药物治疗加局部换药.结果18例PTA联合支架植入术治疗糖尿病足性血管病变中，17例下肢缺血症状及溃疡愈合症状明显改善，无一例截肢，而对照组的18例患者中，8例出现溃疡反复感染难以愈合，5例截肢，对照组的并发症及截肢发生率远远高于PTA联合支架植入术治疗组.结论 PTA联合支架植入术治疗糖尿病足性血管病变有助溃疡愈合，降低截肢率，值得临床应用和进一步推广。
목적탐토경피강내혈관성형술（PTA）연합지가식입술치료당뇨병족성혈관병변술후응용적림상료효。방법회고성분석아원2009.1-2010.6응용PTA연합지가식입술치료당뇨병족성혈관병변18례，대조조18례급여약물치료가국부환약.결과18례PTA연합지가식입술치료당뇨병족성혈관병변중，17례하지결혈증상급궤양유합증상명현개선，무일례절지，이대조조적18례환자중，8례출현궤양반복감염난이유합，5례절지，대조조적병발증급절지발생솔원원고우PTA연합지가식입술치료조.결론 PTA연합지가식입술치료당뇨병족성혈관병변유조궤양유합，강저절지솔，치득림상응용화진일보추엄。
Objective To discuss clinnical use of interventional therapy through PTA combined with stent implantation for the treatment in vascular lesions of the diabetic foots. Results 18 cases of PTA stenting combined treatment of diabetic foot vascular lesions, postoperative limb ischemia significantly improved symptoms and ulcer healing, there was no case of amputation, while the control group of 18 patients, 10 patients had recurrent infection difficult to heal ulcers , 5 cases of amputation, and amputation in the control group the incidence of complications is much higher than the joint PTA stenting group.