[1]王 珏,吴正阳,朱悦琦,等.使用长球囊行膝下血管成形术治疗糖尿病严重下肢缺血的回顾性分析[J].介入放射学杂志,2011,(03):191.
　WANG Jue,WU Zheng-yang,ZHU Yue-qi,et al.Infrapopliteal angioplasty with a long over-the-wire balloon for the treatment of severe limb ischemia in diabetic patients: a retrospective analysis’[J].journal interventional radiology,2011,(03):191.
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使用长球囊行膝下血管成形术治疗糖尿病严重下肢缺血的回顾性分析()

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

卷:
期数:
2011年03期
页码:
191
栏目:
血管介入
出版日期:
2011-04-18

文章信息/Info

Title:
Infrapopliteal angioplasty with a long over-the-wire balloon for the treatment of severe limb ischemia in diabetic patients: a retrospective analysis’
作者:
王 珏;  吴正阳;  朱悦琦;  赵俊功;  王建波;  程英升;  李明华;  王 武;  张培蕾
 200233  上海交通大学附属第六人民医院介入影像科
Author(s):
WANG Jue;  WU Zheng-yang;  ZHU Yue-qi;  ZHAO Jun-gong;  WANG Jian-Bo;  CHENG Ying-sheng;  LI Ming-hua;  WANG Wu;  ZHANG Pei-lei.
Department of Radiology, the Affiliated Sixth People＇s Hospital, School of Medicine, Shanghai Jiaotong University, Shanghai 200233, China
关键词:
血管成形术; 　球囊; 　糖尿病足; 　膝下动脉
分类号:
Ｒ５８７.１
文献标志码:
Ａ
摘要:
目的 回顾性分析使用长球囊经皮腔内血管成形术（ＰＴＡ）治疗糖尿病严重下肢缺血的安全性和疗效。方法 从２００７年４月到２００８年３月，３４例患者（５３条下肢，１１９处血管病变）接受了长球囊膝下血管ＰＴＡ。回顾性分析血管造影图像，根据病变长度和程度进行分类和分级。平均随访期（７．４ ± ２．６）个月，随访期内每３个月进行１次下肢ＭＲＡ，并收集相关临床资料。结果 ９２％患者手术成功。踝肱指数（ａｎｋｌｅｂｒａｃｈｉａｌ ｉｎｄｅｘ，ＡＢＩ）和经皮氧分压（ｔｒａｎｓｃｕｔａｎｅｏｕｓ ｏｘｙｇｅｎ ｔｅｎｓｉｏｎ， ＴｃＰＯ２）分别从治疗前的（０．５０　±　０．１８）和（１８．８５　±　１２．０８）　ｍｍＨｇ，提高到治疗后的（０．８１　±　０．１２）和（３９．８５　±　１２．６７）　ｍｍＨｇ。在随访期末，２９例患者取得稳定疗效。５例症状复发，其中３例行第２次ＰＴＡ。共进行了２例大截肢和４例小截肢术，取得９４％的保肢率和５９％的通畅率。结论　　　使用长球囊行膝下动脉ＰＴＡ治疗糖尿病严重下肢缺血安全、可行，取得令人鼓舞的中期效果，需要更深入的研究来评估其长期效果。

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备注/Memo

备注/Memo:
收稿日期：２０１０１２１４’
上海市科委医学引导项目（10411966700）
更新日期/Last Update: 2011-04-18