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经皮腔内血管成形术治疗糖尿病下肢动脉血管病变的临床疗效观察

张瑞 童强 徐静 王慧 周厚地 成军

局解手术学杂志Issue(1):21-24,4.
局解手术学杂志Issue(1):21-24,4.DOI:10.11659/jjssx.11E015125

经皮腔内血管成形术治疗糖尿病下肢动脉血管病变的临床疗效观察

Clinical effect of percutaneous transluminal angioplasty for the treatment of diabetic lower extremity arterial disease

张瑞 1童强 1徐静 1王慧 1周厚地 1成军2

作者信息

  • 1. 第三军医大学新桥医院内分泌科,重庆400037
  • 2. 重庆医科大学第一附属医院血管外科,重庆400016
  • 折叠

摘要

Abstract

Objective To observe the clinical effect of percutaneous endovascular angioplasty ( PTA) for the treatment of diabetic lower extremity arterial disease( LEAD) , so as to provide a reference for the selection of the best treatment for diabetic lower extremity arterial dis-ease(LEAD). Methods In this parallel study, totally 60 patients were equally divided into the control group and the intervention group. The control group were treated by the conventional method, and the intervention group were treated by percutaneous endovascular angioplasty (PTA). The changes of ankle brachial index (ABI),average blood flow velocity of dorsalis pedis,pulsation index(PI) and the maximum walking distance were observated in 12 weeks and 24 weeks after the treatment. Results Compared with the control group, the ankle brachi-al index ( ABI) , average blood flow velocity of dorsalis pedis, pulsation index ( PI) and the maximum walking distance in the intervention group were significantly improved 12 weeks and 24 weeks after treatment, and the difference between the two groups was statistically signifi-cant (P<0. 05). And compared with thses data before treatment in the intra-group comparison, there were statistically significant difference (P<0. 05). However, the changes in 24 weeks and 12 weeks after treatment in the same group showed no significant difference (P>0. 05). Conclusion Percutaneous endovascular angioplasty ( PTA) is better than traditional drug therapy in the treatment of diabetic lower extremity arterial disease( LEAD) . It is a feasible clinical treatment of lower extremity arterial disease( LEAD) .

关键词

经皮腔内血管成形术/糖尿病/下肢动脉血管病变

Key words

percutaneous transluminal angioplasty/diabetes/lower extremity artery disease

分类

医药卫生

引用本文复制引用

张瑞,童强,徐静,王慧,周厚地,成军..经皮腔内血管成形术治疗糖尿病下肢动脉血管病变的临床疗效观察[J].局解手术学杂志,2016,(1):21-24,4.

基金项目

重庆市自然科学基金面上项目(2010-2-037) (2010-2-037)

局解手术学杂志

OACSTPCD

1672-5042

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