糖尿病足介入治疗的临床疗效观察(附5例报告)

Clinical effect of interventional treatment in diabetic foot(with report of 5 cases)

目的分析探讨糖尿病足下肢的DSA改变及治疗方法,观察血管内介入治疗的临床效果。方法对5例2型糖尿病足患者行下肢动脉血管超声及DSA检查,糖尿病足下肢动脉有不同程度的狭窄与阻塞同时存在,细小动脉多有闭塞,5例7条下肢节段性狭窄动脉行介入治疗(5例5支血管经皮血管球囊成形术,5例6支血管腔内支架植入)。术后3到6个月后血管造影或血管超声复查。结果5例患者中6条患肢症状明显减轻或消失,溃疡面治愈,1条患肢在外科拉栓术后截肢。结论DSA检查可以准确了解糖尿病足下肢动脉阻塞部位及程度,介入治疗可以改善糖尿病足下肢动脉的血液灌注,通过控制血糖和改善血液循环,其治疗的近期疗效令人满意。

purpose： To discuss the DSA imaging of patients with diabetic foot and corresponding treatment, and evaluate the clinical effect of interventional treatment for diabetic foot. Method： 5 patient with 2 types of diabetic foot underwent ultrasonography and angiography of lower limbs. Multiple stenosis and occlusion were found in the target arteries. Interventional therapy were done in 7 target arteries of 5cases （5 vessels in 5 cases were treated with angioplasty through balloon dilation, and 6 vessels in 5 cases received stent implantation）. The patients were followed up with DSA or ultrasound at 3-6 months. Result： The symptoms of 6 target limbs were relieved after treatment, and 1 limb was amputated after embolectomy. Conclusion： DSA can provide an excellent view of occlusive site and extent of target artery. Interventional treatment can improve the perfusion of diabetic foot, and the short-term effect is satisfied combined with controlling blood sugar and improving the blood circulation.