Percutaneous transluminal angioplasty and vacuum sealing drainage for patients with diabetic foot and arteriosclerosis obliteration of the lower extremity

VernacularTitle:血管腔内介入联合负压闭式引流术治疗糖尿病足合并下肢动脉硬化闭塞症
Author: Guozhong JIANG ; Lei LI ; Weili LIU ; Jianfei ZHAO ; Fuqing WEI ; Kai LU
Publication Type:Journal Article
Keywords: Diabetic foot; Angioplasty; Drainage; Arterial occlusive diseases
From: Chinese Journal of General Surgery 2016;31(4):293-296
CountryChina
Language:Chinese
Abstract: Objective To study the clinical efficacy of percutaneous transluminal angioplasty (PTA) and vacuum sealing drainage technique on patients with diabetic foot and arteriosclerosis obliteration of the lower extremity.Methods Sixty-four patients were divided into two groups.Group A (32 patients) were treated by traditional methods,while 32 patients in Group B treated by vacuum sealing drainage technique in addition to percutaneous transluminal angioplasty.Results One week after surgery,ABI in group A was 0.53 ±0.17 vs 0.85 ±0.27 in group B,P =0.00.Ulcer healing rate increased from 31.25％ in group A to 81.25％ in group B,P ＜0.01.The amputation rate decreased from 56.25％ in group A to 18.75％ in group B,P =0.00.Claudication distance extended and ulcer recurrence rate in group A was 40％,while in group B it was 0,P =0.00.Conclusion The combination of PTA and vacuum sealing drainage significantly improves the prognosis of patients with diabetic foot and arteriosclerosis obliteration of the lower extremity.