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目的观察球囊扩张配合高压氧治疗糖尿病下肢小动脉闭塞的手术成功率和临床疗效。方法对92例糖尿病下肢动脉闭塞症患者进行动脉内球囊扩张,然后进行高压氧治疗。结果 92例患者82例手术获得成功,有效率90%。术后经高压氧治疗,间歇性跛行距离、足趾坏死、静息痛都得到显著缓解。治疗前后皮温、经皮氧分压、踝肱指数、血液流变学都有显著改善。结论球囊扩张配合高压氧治疗糖尿病下肢动脉闭塞症疗效显著。
Objective To observe the success rate and clinical effect of balloon dilation and hyperbaric oxygenation in the treatment of diabetic lower extremity arterioles occlusion. Methods Ninety-two patients with diabetic lower extremity arterial occlusive disease underwent balloon dilatation and then hyperbaric oxygen therapy. Results 82 cases of 92 patients were successful surgery, the effective rate of 90%. Postoperative hyperbaric oxygen therapy, intermittent claudication distance, toe necrosis, pain were relieved significantly. Skin temperature before and after treatment, percutaneous oxygen pressure, ankle brachial index, hemorheology have significantly improved. Conclusion balloon dilation with hyperbaric oxygen treatment of diabetic lower extremity arterial occlusive disease significant effect.