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目的探讨缺血性糖尿病足的临床特点及介入治疗的临床效果。方法对15例2型缺血性糖尿病足患者行下肢动脉血管超声、CTA及DSA检查。糖尿病足下肢动脉病变有不同程度的狭窄与阻塞同时存在,细小动脉多有闭塞。15例患者行介入治疗(15例经皮血管球囊成形术,其中8例血管腔内支架植入;3例运用溶栓导管插管溶栓)。术后3～6个月后血管超声复查。结果术后14例患者临床症状明显好转,溃疡坏死创面在1～2个月愈合。1例无改善,于3月后截肢。获得随访8例患者中7例治疗部位血管彩超示保持通畅。结论血管腔内介入治疗安全、有效,对缺血性糖尿病足近期疗效满意。
Objective To investigate the clinical features of ischemic diabetic foot and the clinical effect of interventional therapy. Methods Fifteen patients with type 2 ischemic diabetic foot underwent lower extremity arterial ultrasound, CTA and DSA. Diabetic foot lower extremity arterial lesions have varying degrees of stenosis and obstruction exist at the same time, many small arteries occlusion. Fifteen patients underwent interventional therapy (15 percutaneous transluminal angioplasty, of which 8 were implanted with endovascular stents; 3 were thrombolyzed with thrombolytic catheters). Postoperative vascular ultrasound 3 to 6 months after the review. Results The clinical symptoms of 14 patients were significantly improved after operation. The ulcer necrosis wound healed in 1 ~ 2 months. One case did not improve, amputation in March. Follow-up 8 patients in 7 cases of vascular color ultrasound treatment showed smooth. Conclusion Endovascular interventional therapy is safe and effective and satisfactory for short-term curative effect of ischemic diabetic foot.