[1]郭相江,张纪蔚.162例糖尿病患者下肢动脉病变的特征分析[J].介入放射学杂志,2010,(12):940-943.
 GUO Xiang-jiang,ZHANG Ji-wei..Pathologic features of lower extremity arterial lesions in diabetes mellitus: an analysis of 162 patients[J].journal interventional radiology,2010,(12):940-943.
点击复制

162例糖尿病患者下肢动脉病变的特征分析()

PDF下载中关闭

分享到:

《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2010年12期
页码:
940-943
栏目:
血管介入
出版日期:
2010-12-25

文章信息/Info

Title:
Pathologic features of lower extremity arterial lesions in diabetes mellitus: an analysis of 162 patients
作者:
郭相江张纪蔚
200001  上海交通大学医学院附属仁济医院血管外科
Author(s):

GUO Xiang-jiang ZHANG Ji-wei.

Department of Vascular Surgery, the Affiliated Renji Hospital, School of Medicine, Shanghai Jiaotong University, Shanghai 200001, China
关键词:
糖尿病 下肢动脉病变 血管造影
分类号:
R587
文献标志码:
摘要:
目的研究糖尿病下肢动脉粥样硬化闭塞症的血管造影特征。方法回顾上海交通大学医学院附属仁济医院收治的162例糖尿病下肢动脉缺血患肢造影资料。①将下肢分为髂、股、腘、小腿动脉4分段,统计患肢单节段,双节段,多节段动脉累及情况。②根据病变数目,部位,病变性质(狭窄或者闭塞),病变长度(<5cm,5~10cm和>10cm),行分类统计。结果根据4分段法,162条患肢中,131条为多节段动脉病变,120条患肢有股浅动脉段病变,139条患肢为小腿动脉病变。小腿动脉中,120条累及膝下2支以上动脉。分类统计有660处病变,闭塞性病变66.2%,狭窄性病变33.8%。累及小腿动脉有70.5%。超过10cm长段闭塞病变主要分布于小腿动脉,以胫前、胫后动脉为主,腓动脉较少。152处股浅动脉病变,49处(31.2%)累及股浅动脉开口,56处(35.7%)累及内收肌管。结论糖尿病下肢动脉病变以多平面硬化闭塞为主要表现,股浅和小腿动脉累及最多。股浅动脉病变常累及股浅动脉开口及内收肌管,股深动脉和股总动脉累及较少。小腿动脉病变以胫前、胫后动脉长段闭塞为主要表现。

参考文献/References:

[1] Graziani L, Silvestro A, Bertone V, et al. Vascular involvement in diabetic subjects with ischemic foot ulcer: a new morphologic categorization of disease severity[J]. Eur J Vasc Endovasc Surg, 2007, 33: 453 - 460.
[2] Allard L, Cloutier G, Guo Z, et al. Review of the assessment of single level and multilevel arterial occlusive disease in lower limbs by duplex ultrasound[J]. Ultrasound Med Biol 1999, 25: 495 - 502.
[3] Lyon CJ, Law RE, Hsueh WA. Minireview adiposity, inflammation, and atherogenesis[J]. Endocrinology, 2003, 144: 2195 - 2200.
[4] Lehto S, Niskanen L, Suhonen M, et al. Medial artery calcification. A neglected harbinger of cardiovascular complica-tions in non-insulin-dependent diabetes mellitus[J]. Arterioscler Thromb Vasc Biol, 1996, 8, 16: 978 - 983.
[5] Faglia E, Favales F, Quarantiello A, et al. Angiographic evaluation of peripheral arterial occlusive disease and its role as a prognostic determinant for major amputation in diabetic subjects with foot ulcer[J]. Diabetes Care, 1998, 21: 625 - 630.
[6] Van der Feen C, Neijens FS, Kanters SD, et al. Angiographic distribution of lower extremity atherosclerosis in patients with and without diabetes[J]. Diabet Med, 2002, 19: 366 - 370.
[7] Jude EB, Oyibo SO, Chalmers N, et al. Peripheral arterial disease in diabetic and nondiabetic patients: a comparison of severity and outcome[J]. Diabetes Care, 2001, 24: 1433 - 1437.
[8] Scholten FG, Warnars GA, Mali WP, et al. Femoropopliteal occlusions and the adductor canal hiatus Duplex study[J]. Eur J Vasc Surg, 1993, 7: 680 - 683.
[9] 单云官, 王 辉, 张玉和. 收肌管压迫综合征的解剖学研究[J]. 解剖与临床, 2004, 9: 17 - 18.
[10] 王建波, 赵俊功, 朱悦琦, 等. 膝下动脉经皮腔内血管成形术治疗糖尿病下肢缺血[J]. 介入放射学杂志, 2008, 17: 318 - 322.
[11] 李绍钦, 蒋国民, 赵进委, 等. DEEP 球囊导管在膝下动脉腔内成形术治疗严重下肢缺血中的应用[J]. 介入放射学杂志, 2008, 17: 858 - 861.
[12] Dardik H. Peroneal artery-only runoff following endovascular revas-cularizations is effective for limb salvage in patients with tissue loss[J]. J Vasc Surg, 2008, 48: 1642 - 1643.

相似文献/References:

[1]张火俊 杨继金 田建明 生晶 袁敏 张峰 相成 陈炜 郝强.肝癌肝动脉栓塞化疗术后糖尿病的发生与治疗[J].介入放射学杂志,2006,(06):374.
 ZHANG Huo-jun,YANG Ji-jin,TIAN Jian-ming,et al.Occurance and treatment of TACE-associated diabetes mellitus in patients with primary liver cancer[J].journal interventional radiology,2006,(12):374.
[2]李永亮 颜志平.脊柱转移瘤的双介入治疗[J].介入放射学杂志,2006,(07):434.
 LI Yong-liang YAN Zhi-ping.The combination of percutaneous vertebroplasty and transcatheter arterial chemoembolization in treating spinal metastases[J].journal interventional radiology,2006,(12):434.
[3]王建波,赵俊功,朱悦琦,等.膝下动脉经皮腔内血管成形术治疗糖尿病下肢缺血[J].介入放射学杂志,2008,(05):318.
 WANG Jianbo,ZHAO Jungong,ZHU Yueqi,et al.Balloon angioplasty of infrapopliteal artery in chronic lower limb ischemia with diabetes[J].journal interventional radiology,2008,(12):318.
[4]李杰,赵俊功,李明华.糖尿病下肢血管病变术前MRA诊断进展[J].介入放射学杂志,2010,(02):161.
 LI Jie,ZHAO Jungong,LI Minghua.Advances in preoperative MR angiography for lower limb arterial diseases in diabetic patients[J].journal interventional radiology,2010,(12):161.
[5]赵俊功,程永德.积极稳妥地开展糖尿病外周血管病变的介入治疗[J].介入放射学杂志,2011,(03):169.
 ZHAO Jun-gong,CHENG Yong-de..To vigorously and safely develop the interventional therapy for diabetic peripheral vascular diseases[J].journal interventional radiology,2011,(12):169.
[6]吴正阳,赵俊功.糖尿病外周血管病变介入治疗的现状及展望[J].介入放射学杂志,2011,(03):240.
 WU Zheng-yang,ZHAO Jun-gong.The interventional therapy of diabetic peripheral vascular diseases: its present situation and prospects for the near future[J].journal interventional radiology,2011,(12):240.
[7]李 杰,赵俊功,朱悦琦,等.小腿加压3.0 T MRA评估糖尿病下肢血管病变的价值探讨[J].介入放射学杂志,2011,(03):231.
 LI Jie,ZHAO Jun-gong,ZHU Yue-qi,et al.Evaluation of diabetic peripheral arterial disease in lower limb by using 3.0 T contrast-enhanced MR angiography with simultaneous calf compression[J].journal interventional radiology,2011,(12):231.
[8]张玲玲,朱悦琦,牟 凌.糖尿病下肢血管病变球囊成形术后高灌注并发症的观察与护理[J].介入放射学杂志,2011,(03):237.
 ZHANG Ling-ling,ZHU Yue-qi,MO Lin.Observation and nursing of complications due to high re-perfusion injury occurring after balloon angioplasty for diabetic vascular diseases of lower extremity[J].journal interventional radiology,2011,(12):237.
[9]肖 亮,申 景,黄德生,等.糖尿病下肢动脉阻塞性病变介入治疗疗效分析[J].介入放射学杂志,2011,(03):218.
 XIAO Liang,SHEN Jing,HUANG De-sheng,et al.Interventional therapy for arterial occlusive disease of lower extremity in patients with diabetes: an analysis of therapeutic results[J].journal interventional radiology,2011,(12):218.
[10]曹厚德.正在使用二甲双胍的糖尿病患者不宜作DSA造影检查[J].介入放射学杂志,2011,(05):339.

备注/Memo

备注/Memo:
收稿日期:20100604
更新日期/Last Update: 2010-12-25