目的：对照研究经足背-足底(transdorsal-to-plantar,TDP)或足底-足背(transplantarto-dorsal,TPD)动脉环逆行腔内成形术与常规顺行血管成形术治疗膝下动脉闭塞性病变的临床疗效.方法：回顾性分析从2009年10月到2011年7月96例膝下动脉闭塞性病变患者,共计112条患肢计划接受常规顺行BTK血管成形术,其中27条手术失败患肢接受经TDP或TPD动脉环逆行腔内成形术,22条患肢取得手术成功.手术前后踝肱指数(ABI)、TIMI评分及足背或足底动脉搏动评分,在常规顺行血管腔内成形术成功患者组(常规组,71例患者共计85条患肢)及经TDP或TPD动脉环逆行腔内成形术成功患者组(逆行组,20例患者共计22条患肢)之间进行比较研究,并随访两组术后肢体挽救率及靶血管再狭窄情况.结果：常规组和逆行组手术技术成功率分别为74.0％和75.9％(P＞0.05);逆行组ABI从术前0.55±0.21升至0.93±0.19(vs常规组0.56±0.14升至0.89±0.18,P＞0.05);TI M I评分增加情况显示逆行组患者远侧足部组织获得更好血流灌注(逆行组2.3±0.8 vs常规组1.0±0.8,P＜0.05).逆行组和常规组在12和24个月靶血管通畅率分别为63.6％(14/22)、45.5％(10/22)和52.9％(45/85)、37.6％(32/85)(P＞0.05).24个月后Kaplan·Meier评分显示逆行组和常规组肢体挽救率分别为93.8％和96.5％(P＞0.05).结论：经TDP或TPD动脉环逆行腔内成形术治疗膝下动脉闭塞性病变,较常规顺行血管成形术相比可以获得更好的即刻血流改善情况,以及相似的ABI改善情况、一期通畅率及肢体挽救率,其可作为顺行血管成形术失败后的有效替补技术方法.
Objective:Chronic wound has been a big problem in the whole *** dressing has played an important role on healing of chronic *** study evaluated wound healing efficacy ofthe ionic silver-containing dressing (Aquacel-Ag...
Objective:Chronic wound has been a big problem in the whole *** dressing has played an important role on healing of chronic *** study evaluated wound healing efficacy ofthe ionic silver-containing dressing (Aquacel-Ag) on the chronic ***:The ionic silver-containing dressing (Aquacel-Ag)were applied on the chronic wounds of patients for 4 weeks or until the wounds *** pain and progression were evaluated.
Aims:To determine the annual incidence and clinically relevant risk factors for foot ulceration in a large cohort study in diabetic foot ulceration patients and diabetic patients in ***: To investigate a cohort of 133...
Aims:To determine the annual incidence and clinically relevant risk factors for foot ulceration in a large cohort study in diabetic foot ulceration patients and diabetic patients in ***: To investigate a cohort of 1333 patients comprising 452 diabetic foot ulceration patients and 881 diabetic patients,who underwent foot screening,physical examination and laboratory tests in eight *** patients were assessed at baseline in terms of their demographic information,medical and social history,peripheral neuropathy screening,periphery artery disease screening,assessment of nutritional status and diabetic *** year later,the patients were followed up to determine the incidence of new foot ulcers,amputation and *** univariate analysis,statistically significant differences were found in age,location,gender,living alone (yes/no),occupation,smoking,hypertension,DPN,PVD,nephropathy,retinopathy,cataracts,duration of diabetes,HbA1c,fasting plasma glucose level,postprandial blood glucose level,insulin level,BUN,Cr,CHO,TG,HDL,ALB,WBC,and BMI.A binary logistic regression model was used to examine which of these risk factors were independent risk factors for foot ulceration.
暂无评论