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目的探讨糖尿病足腔内介入治疗的疗效。方法总结分析2014年1月至2015年6月于华东医院血管外科行下肢动脉腔内治疗的42例糖尿病足患者,予经皮腔内血管成形术(pecutaneous transtuminl angioplasty,PTA)及动脉支架置入术,治疗1月后比较踝肱指数(ABI)和间歇性跛行、下肢疼痛麻木感、坏疽溃烂的改善程度。结果腔内介入治疗后ABI改善程度有统计学意义,间歇性跛行、下肢疼痛麻木感、坏疽溃烂明显改善。结论 PTA及支架置入手术治疗糖尿病足下肢动脉硬化闭塞症(arteriosclerosis obliterans,ASO)是安全有效的腔内治疗方法。
Objective To investigate the efficacy of interventional therapy in diabetic foot. Methods From January 2014 to June 2015, 42 patients with diabetic foot undergoing endovascular treatment of lower extremity artery in East China Hospital were enrolled in this study. They were treated with PTA and arterial stenting Surgery, after 1 month of treatment compared with ankle brachial index (ABI) and intermittent claudication, lower extremity pain numbness, gangrene ulceration improved. Results The improvement of ABI after interventional therapy was statistically significant. Intermittent claudication, numbness of lower extremity pain and necrosis of gangrene were significantly improved. Conclusion PTA and stenting are safe and effective for the treatment of diabetic lower extremity arteriosclerosis obliterans (ASO).