缺血性糖尿病下肢病变的膝下动脉成形术

Infrapopliteal angioplasty in the treatment of ischaemic diabetic lower limbs

目的探讨膝下动脉的球囊成形术在治疗糖尿病缺血性下肢病变中的价值。方法对53例糖尿病合并缺血性下肢病变患者64侧缺血性下肢进行膝下动脉Deep球囊扩张成形术。对比患者手术前后临床症状的改变及足部溃疡的变化。结果53例患者共119支动脉分支接受PTA治疗,50例患者的101个分支成功地开通,技术成功率为84.9%,所有50例患者的临床症状均明显缓解,足部溃疡均变小,无需截肢。结论膝下动脉的球囊成形术是治疗缺血性糖尿病下肢病变安全有效的微创手段。

Objective To evaluate the clinical effect of infrapopliteal arterial balloon angioplasty in the treatment of ischaemic diabetic lower limbs. Methods 53 cases of ischaemic diabetic lower limb containing 64 ischeamic limbs were treated with infrapopliteal angioplasty by Amphirion Deep Balloon. Observation of clinical remission including the ulcers was carried out before and after the procedure. Results 119 ateries of the 53 cases were chosen for PTA and 101 PTA in 50 cases were accomplished, with technical success rate of 84.9%. All the 50 patients got clinical remission including the shrinkage of ulcers and none amputation. Conclusin Infrapopliteal arterial angioplasty is effective, minimal invasive and safe for the ischaemic diabetic lower limbs.