[1]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,(03):218.
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糖尿病下肢动脉阻塞性病变介入治疗疗效分析()

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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:
218
栏目:
临床研究
出版日期:
2011-04-18

文章信息/Info

Title:
Interventional therapy for arterial occlusive disease of lower extremity in patients with diabetes: an analysis of therapeutic results
作者:
肖 亮;  申 景;  黄德生;  童家杰;  张曦彤;  徐 克
110001  沈阳  中国医科大学附属第一医院放射科；基础医学院数学教研室
Author(s):
XIAO Liang;  SHEN Jing;  HUANG De-sheng;  TONG Jia-jie;  ZHANG Xi-tong;  XU Ke.
Department of Radiology, the First Clinical Hospital of China Medical University, Shenyang 110001, China
关键词:
糖尿病; 　动脉阻塞性病变; 　介入治疗; 　效果
分类号:
Ｒ５８７.１
文献标志码:
Ｂ
摘要:
目的 评估糖尿病合并周围动脉阻塞性病变（ＰＡＯＤ）介入治疗的可行性及疗效；方法 回顾性分析２００６年至２００９年期间为治疗糖尿病伴发跛行患者及下肢严重缺血患者而进行的６３次介入治疗。治疗手段包括：单纯ＰＴＡ及ＰＴＡ加支架置入。介入治疗的病变血管共８５支，包括髂动脉１５支（１７．６％）、股动脉３６支（４２．４％）、腘动脉２０支（２３．５％）、胫动脉１４支（１６．５％）。采用ＫａｐｌａｎＭｅｉｅｒ曲线法确定通畅率（根据超声复查结果）。平均随访时间为２１．９个月（６　～　３６月）；结果 ６３例患者中合并高血压３７例（占５８．７％）、合并冠心病１９例（占３０．２％）、吸烟史占５２．２％。介入操作技术成功率９７．８％，术后３０ ｄ无死亡病例。ＡＢＩ值明显升高（由术前０．３９７ ± ０．１３６ 升至术后０．７８３ ± ０．１３４；Ｐ　＜ ０．０１）。６、１２、２４和３６个月的初次通畅率分别为８４．４％、５７．９％、４９．８％及４０．７％，相应的二次通畅率分别为９１．１％、７９．１％、６５．７％及５４．１％（Ｐ　＜ ０．０１）。相应的肢体保存率分别为９３．３％、８６％、８３．３％及８３．３％；结论　　　经皮血管再通治疗具有创伤小、并发症及死亡率低的优点，同时还不阻挠必要时外科血管重建手术，深受众多患者的认同并逐渐成为治疗慢性下肢缺血患者的首选方法。

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备注/Memo

备注/Memo:
收稿日期：２０１０－０９－２５
国家十一五科技支撑计划（2007BAI05B04)
更新日期/Last Update: 2011-04-18