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目的观察介入治疗对糖尿病足的临床疗效。方法按1999年世界卫生组织制定的糖尿病诊断标准,所有患者在DSA下行双下肢血管造影,参照泛大西洋协作组共识(Transatlantic Inter-Society Consensus,TASC)股·动脉的分级标准,符合其中的A、B级;按照Wagner分级3级以下,共62例糖尿病足患者,在每一级中进行随机分组,分为介入治疗组32例和传统治疗组30例。介入治疗组根据血管状况采取球囊扩张、支架成形术、内膜下血管成形术等方法进行治疗,传统治疗组给予静脉改善微循环、口服抗凝等药物治疗。观察溃疡处颜色、肉芽生长情况、溃疡深度变化,观察足部感觉变化和患者自觉症状改善情况,测定踝臂指数(ABI)和经皮氧分压(TcPO2)。结果介入治疗对糖尿病足恢复有效率为87.5%,传统治疗组有效率为60%,介入治疗能够明显改善ABI和TcPO2。结论介入治疗对糖尿病足有良好疗效。
Objective To observe the clinical effect of interventional therapy on diabetic foot. Methods According to the diagnostic criteria of diabetes developed by World Health Organization in 1999, all the patients underwent bilateral lower extremity angiography with DSA. According to the grading standards of the Transatlantic Inter-Society Consensus (TASC) B grade; According to Wagner grade 3 below, a total of 62 patients with diabetic foot, at each level were randomly divided into interventional treatment group of 32 patients and the traditional treatment group of 30 patients. Interventional treatment group according to vascular conditions to take balloon dilation, stenting, subintimal angioplasty and other methods of treatment, the traditional treatment group given intravenous microcirculation, oral anticoagulation and other drug treatment. The color of the ulcer, the growth of granulation and the depth of ulcer were observed. The change of foot sensation and the improvement of patients’ symptoms were observed. Ankle brachial index (ABI) and transcutaneous oxygen pressure (TcPO2) were measured. Results Interventional treatment of diabetic foot recovery effective rate was 87.5%, the effective rate of 60% in the traditional treatment group, interventional therapy can significantly improve the ABI and TcPO2. Conclusion Interventional treatment of diabetic foot has a good effect.