老年糖尿病性下肢动脉硬化闭塞症的外科治疗
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韩冰

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Surgical treatment of diabetic arteriosclerotic occlusive disease of lower extremities in old patients
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    摘要:

    目的:探讨治疗老年糖尿病性下肢动脉硬化闭塞症(DASO)的方法及效果。
    方法:选择1年内收治的56例老年DASO,其中41例采用球囊扩张及支架植入;11例采用取栓并球囊扩张及持续血管腔内给药;4例行球囊扩张并人工血管搭桥治疗。
    结果:56例患者临床症状均得到改善。无围手术期死亡及严重并发症发生。随访3~12个月,6例术后3~6个月复发,再行经皮球囊扩张术(PTA)治疗成功,其他患者疗效满意。
    结论:PTA治疗DASO效果肯定,且可重复应用,必要时联合其他方法。PTA可作为老年DASO血管再通的首选治疗方法。

    Abstract:

    Abstract:Objective:To study the method and effect of treatment of diabetic arteriosclerotic occlusive disease (DASO) of lower extremities in old patients.
    Methods :Fiftysix DASO patients were treated from January 2006 to January 2007. Fortyone of them were treated by PTA and stenting,11 cases were treated by embolectom and continuous intravascular medicine transfusion, and 4 cases were treated by PTA and bypass with vascular prosthesis.
    Results:Clinical symptoms improved in all the 56 cases. No perioperative death or serious complications occurred. All cases were followedup for 3-12 months. Among them, 6cases were found with recurrence 3-6 months after the operation and were successfully treated by another PTA.The othe cases had satisfactory results.
    Conclusions:PTA gives definitely good results in treatment of DASO. The procedure can be repeated and, when necessary, it can be combined with other treatment methods. PTA can be selected as first line therapy for vascular recanalization in elderly patients with DASO.

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韩冰, 张宏光, 周晨光, 吉国辉.老年糖尿病性下肢动脉硬化闭塞症的外科治疗[J].中国普通外科杂志,2007,16(6):6-.
DOI:10.7659/j. issn.1005-6947.2007.06.006

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  • 在线发布日期: 2007-06-25