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目的对血运重建治疗130例糖尿病足患者的临床疗效进行分析。方法选取四川省内江市第一人民医院内分泌科2011年4月至2013年4月收治的行血运重建手术的糖尿病足患者130例,分为两组,研究组65例患者行下肢远端动脉旁路移植术,对照组65例患者行下肢远端静脉动脉化手术,比较并分析两种血运重建手术的临床治疗效果。结果两组行不同血运重建术的患者,在下肢症状改善、足部溃烂创面改善、救肢成功率等方面比较差异均无统计学意义(P>0.05)。结论采用血运重建手术治疗糖尿病足患者有显著的临床效果,在临床应用中,需根据患者的临床症征选择最为适宜的血运重建术式。
Objective To analyze the clinical efficacy of revascularization in the treatment of 130 diabetic foot patients. Methods 130 cases of diabetic foot patients who underwent revascularization operation from April 2011 to April 2013 in Endovascular Department of First People’s Hospital of Neijiang City, Sichuan Province were divided into two groups. The study group consisted of 65 patients with distal lower extremity artery In the bypass group, 65 patients in the control group underwent distal venous arterialization. The clinical effects of two revascularization procedures were compared and analyzed. Results There was no significant difference in the improvement of lower extremity symptoms, improvement of foot ulceration wounds, success rate of salvage, etc. between two groups with different revascularization (P> 0.05). Conclusions There are significant clinical effects in the treatment of diabetic foot by revascularization surgery. In clinical practice, the most appropriate revascularization procedure should be selected according to the clinical symptoms of patients.