目的:探讨下肢血管介入在糖尿病下肢血管病变并发糖尿病足临床治疗中的效果。方法分析2011年1月至2015年3月大同市第五人民医院收治的80例糖尿病下肢血管病变患者,随机分为2组:观察组(40例)和对照组(40例)。观察组实施下肢血管腔内介入治疗,对照组行开放手术治疗(对病变血管实施血管内膜剥脱术或血管移植治疗),比较2组患者的手术时间、术中出血及术后住院时间,并统计治疗过程中发生的血管相关并发症。结果观察组成功治疗39例,成功率为97.5%;对照组成功治疗20例,成功率为50.0%,2组相比差异有统计学意义(χ2=20.920,P<0.05)。观察组手术时间短于对照组(P<0.05),术中出血少于对照组(P<0.05),术后住院时间短于对照组(P<0.05),观察组血管破裂、血栓栓塞及血肿形成等相关并发症总发生率明显低于对照组(P<0.05)。结论针对糖尿病下肢血管病变患者使用下肢血管腔内介入治疗,能有效缩短手术时间、减少术中出血且手术并发症少,有利于患者早期康复出院。
ObjectiveTo investigate the effect of lower extremity vascular intervention in diabetic lower extremity vascular disease complicated by diabetic foot.MethodsFrom January 2011 to March 2015, 80 cases of diabetic patients with lower extremity vascular lesion admitted in the Fifth People's Hospital of Datong were selected and randomly divided into two groups: observation group (40 cases) and control group (40 cases). The observation group underwent endovascular interventional therapy, and the control group underwent open surgery (vessel endarterectomy or vascular graft treatment). Then the operative time, hemorrhage during operation and postoperative hospital stay were compared, and related vascular complications during treatment were statistically analyzed.Results39 cases were successfully treated in observation group, the success rate was 97.5%; 20 cases were successfully treated in control group, the success rate was 50.0%, and the different was signiifcant (χ2=20.920,P<0.05). The operative time of observation group was shorter than the control group (P<0.05), hemorrhage during operation was less than the control group (P<0.05), postoperative hospital stay was shorter than the control group (P<0.05), the total incidence of related complications (vascular rupture, thromboembolism and hematoma formation,etc) was less than the control group (P<0.05). ConclusionsFor patients with diabetic lower extremity vascular lesions, endovascular interventional therapy can effectively shorten operative time and reduce hemorrhage during operation and fewer complications, which is conducive to early rehabilitation of patients discharged from hospital.