经皮腔内血管成形术治疗糖尿病膝下动脉病变的-第三军医大学学报.DOCVIP

经皮腔内血管成形术治疗糖尿病膝下动脉病变 成 军，赵 渝，张 矛 (400016 重庆，重庆医科大学附属第一医院血管外科) [摘要] 目的 探讨糖尿病膝下动脉狭窄闭塞病变的经皮腔内血管成形术（PTA）治疗。方法 2008年5月2011年月收治的糖尿病合并缺血性下肢动脉病变患者67例，共条动脉。观察技术成功率、疗效及并发症。 结果 67例患者共动脉分，术后ABI明显（P＜0.05）。例行踝关节上截肢术，保肢率%。本组病例技术成功率%。术后随访5例平均6～个月，6月通畅率8%，12个月通畅率69.%。无严重并发症。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。 糖尿病；经皮腔内血管成形术；球囊 R815; R587;R543.5 [文献标志码] A Treatment of lower extremity artery disease in diabetic patients with percutaneous transluminal angioplasty Cheng Jun, Zhao Yu, Zhang Mao (Department of Vascular Surgery, First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China) [Abstract] 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 124 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 124 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% and a success operative rate of 88.8%. 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 complications occurred. Conclusion PTA is a safe, effective and minimally invasive procedure for stenosis or occlusion of lower extremity arteries in diabetic patients. [Key words] percutaneous transluminal angioplasty；diabetes；balloon 糖尿病病变广泛累及膝下多支血管是糖尿病足的原因之一[1-2]，难度较大，截肢的风险高，预后差。2008年5月2011年月科对67例糖尿病膝下血管病变患者了经皮腔内血管成形术（percutaneous transluminal angioplasty, PTA），效果满意，疗效显著，报如下。 67例患者男性例，女性例，年龄～8763.7±7.2）岁。糖尿病病程为8.6±4.1）年。临床症状间歇