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纸质出版:2012
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成军,赵渝,张矛.经皮腔内血管成形术治疗糖尿病膝下动脉病变[J].陆军军医大学学报(原第三军医大学学报),2012,34(08):785-788.
Cheng Jun,Zhao Yu,Zhang Mao.Treatment of lower extremity artery disease in diabetic patients with percutaneous transluminal angioplasty[J].J Amry Med Univ (J Third Mil Med Univ),2012,34(08):785-788.
目的 探讨分析糖尿病膝下动脉狭窄及闭塞病变的特点及腔内治疗方法,总结技术要点,观察经皮腔内血管成形术(percutaneous transluminal angioplasty
PTA)治疗的临床疗效。 方法 回顾性研究2008年5月至2011年5月本科收治的糖尿病合并缺血性下肢动脉病变患者67例,共154条动脉施行了PTA。观察技术成功率、疗效及并发症。 结果 67例(81条肢体)患者共154条动脉分别行PTA,术后ABI明显提高(P0.05),患者症状改善。8条肢体行踝关节上截肢术,保肢率90.1%(73/81)。本组病例技术成功率88.9%(72/81)。术后随访52例,平均15.6(6~36)个月,6个月通畅率82.4%,12个月通畅率69.1%。无严重并发症发生。 结论 PTA是治疗糖尿病膝下动脉狭窄和闭塞性病变的安全、有效和微创的方法。
Objective To study the characteristics of lower extremity artery stenosis or occlusion in diabetic patients and the effect of percutaneous transluminal angioplasty (PTA) on it. Methods Sixty-seven diabetic patients with ischemic lower extremity disease involving 154 arteries who underwent PTA from May 2008 to May 2011 in our department were retrospectively analyzed. The success rate
therapeutic effect and complications of PTA were observed. Results The ABI was significantly higher in 67 diabetic patients with ischemic lower extremity disease involving 154 arteries after PTA than before PTA (P0.05). The symptoms of the patients improved. Eight patients underwent amputation above the ankle with an extremity preservation rate of 90.1%(73/81) and a success operative rate of 88.9%(72/81). Fifty-two patients were followed up for 15.6 months (range 6-36 months) with a 6-month patency of 82.4% and a 12-month patency of 69.1%. No severe complication occurred. Conclusion PTA is a safe
effective and minimally invasive procedure for stenosis or occlusion of lower extremity arteries in diabetic patients.
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