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[糖尿病和非糖尿病慢性下肢严重缺血患者小腿动脉及足底弓的形态学变化]

[Morphological changes of the lower leg arteries and the plantar arch in diabetic and nondiabetic patients with chronic critical ischemia of the leg].

作者信息

Hilfiker M, Vock P, Stirnemann P

机构信息

Inselspital, Klinik für Thorax-, Herz- und Gefässchirurgie, Universität Bern.

出版信息

Rofo. 1993 Mar;158(3):225-9. doi: 10.1055/s-2008-1032638.

Abstract

In this prospective study we evaluated if atherosclerosis of crural and pedal arteries differs in diabetic and non-diabetic patients suffering from chronic ischemia. We performed intraoperative angiography after completion of a femoro-popliteal or femoro-distal bypass. No statistically significant difference was found between the two groups (25 diabetic and 44 non-diabetic patients) concerning the severity and localisation of the arteriosclerosis in the three crural arteries and the pedal arch. The prerequisite for a successful arterial reconstruction were identical in our patients with or without diabetes and a similar number of potential recipient arteries were found at below knee and foot level in both groups.

摘要

在这项前瞻性研究中,我们评估了患有慢性缺血的糖尿病患者和非糖尿病患者的小腿及足部动脉粥样硬化情况是否存在差异。在完成股腘或股远端旁路手术后,我们进行了术中血管造影。两组(25名糖尿病患者和44名非糖尿病患者)在三条小腿动脉和足弓处的动脉硬化严重程度及部位方面未发现统计学上的显著差异。在我们的患者中,无论有无糖尿病,成功进行动脉重建的前提条件是相同的,并且两组在膝下和足部水平发现的潜在受体动脉数量相似。

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