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目的探讨膝下动脉的球囊成形术在治疗糖尿病足中的价值。方法对27例糖尿病合并缺血性下肢病变患者32侧缺血性下肢进行膝下动脉球囊成形术。对比患者手术前后临床症状的改变及足部溃疡的变化。结果27例患者中59支动脉分支接受PTA治疗,27例患者的51个分支成功地开通,技术成功率为86.4%,所有27例患者中26例的临床症状均明显缓解,足部溃疡均变小。结论膝下动脉的球囊成形术是治疗缺血性糖尿病下肢病变安全有效的微创手段。
Objective To investigate the value of balloon angioplasty of inferior arteries in the treatment of diabetic foot. Methods Thirty-two patients with ischemic lower extremity disease underwent knee artery balloon angioplasty in 32 ischemic lower extremities. The changes of clinical symptoms and foot ulcer before and after operation were compared. Results Of the 27 patients, 59 branches of the artery were treated with PTA. Twenty-one of the 27 patients had 51 branches successfully opened with a technical success rate of 86.4%. Clinical symptoms of 26 of 27 patients were significantly relieved. small. Conclusions Balloon angioplasty of the inferior arteries is a safe and effective means of minimally invasive treatment of lower extremity disease of ischemic diabetes mellitus.