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目的观察介入治疗在糖尿病伴下肢动脉硬化性闭塞症的效果。方法选取医院接收的15例糖尿病伴下肢动脉硬化闭塞症患者,对其进行手术前的CTA血管造影,并结合数字减影血管造影的结果,对患者给予相应的介入治疗。观察患者在介入治疗后的效果。结果 15例患者(25患肢)中8患肢因病情较轻未处理,5例(9患肢)行单纯行球囊扩张术,3例(3患肢)行球囊扩张术加支架植入术,1例(1患肢)行内膜下血管形成手术,3例(4患肢)给予经动脉保留导管灌注尿激酶和扩血管药物。患者均顺利完成手术,且未出现严重并发症,术后预后情况良好。结论介入治疗能有效改善患肢的情况,控制病情进一步发展,且安全性较高。
Objective To observe the effect of interventional therapy on diabetic lower extremity arteriosclerosis obliterans. Methods Fifteen patients with diabetes mellitus and lower extremity arteriosclerosis obliterans admitted to the hospital were enrolled in this study. Preoperative CTA angiography was performed and combined with digital subtraction angiography, the patients were given corresponding interventional therapy. Observe the effect of the patient after intervention. Results Of the 15 patients (25 limbs), 8 affected limbs were uninvolved due to mild condition, 5 patients (9 limbs) underwent simple balloon dilation and 3 patients (3 limbs) underwent balloon dilation and stent implantation One case (1 limb) underwent subcoronary angioplasty and 3 cases (4 limbs) underwent catheterization of urokinase and vasodilator via the arterial catheter. All patients successfully completed the operation, and no serious complications, postoperative prognosis is good. Conclusion Interventional therapy can effectively improve the limbs, control the further development of the disease, and high safety.