外周血管支架介入术在糖尿病患者下肢动脉硬化闭塞症合并足坏疽治疗中的价值

Value of peripheral vascular stent intervention in treatment of diabetic patients with arteriosclerosis obliterans of lower limbs complicating foot gangrene

  • 摘要: 目的 探讨外周血管支架介入术在糖尿病下肢动脉硬化闭塞症合并足坏疽治疗中的应用价值。 方法 回顾性分析本院收治的32例糖尿病下肢动脉硬化闭塞症合并足坏疽患者的临床资料,患者均接受外周血管支架介入治疗。比较治疗前后股浅动脉和髂动脉的内径、血流量以及踝肱指数(ABI)的变化。 结果 治疗后,患者髂动脉、股浅动脉的血管内径、血流量均显著大于治疗前,差异有统计学意义(P<0.05); 治疗后患者ABI为(0.85±0.32), 显著高于治疗前的(0.56±0.23)(P<0.05)。 结论 外周血管支架介入术治疗糖尿病下肢动脉硬化闭塞症合并足坏疽对血管再通具有显著疗效,可有效改善患肢血供及临床症状。

     

    Abstract: Objective To investigate the value of peripheral vascular stent intervention in the treatment of diabetic patients with arteriosclerosis obliterans of lower limbs complicating foot gangrene. Methods The clinical data of 32 diabetic patients with arteriosclerosis obliterans of lower limbs complicating foot gangrene who accepted peripheral vascular stent intervention was analyzed retrospectively. The inner diameters, blood flow and ankle brachial indexes(ABI)of superficial femoral artery and iliac artery were compared before and after treatment. Results After treatment, the inner diameters and blood flow of iliac artery and superficial femoral artery were significantly higher than those before treatment(P<0.05); after treatment, the ABI of patients was(0.85±0.32), which was significantly higher than(0.56±0.23)before treatment(P<0.05). Conclusion Peripheral vascular stent intervention for diabetic patients with arteriosclerosis obliterans of lower limbs complicating foot gangrene has significant efficacy in recanalization of blood vessels, and can improve blood supply and clinical symptoms of the affected limb.

     

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