achieve the purpose of treatment of diabetic foot. Recently, there more than 30 patients with diabetic foot Xinqiao Hospital, Third Military Medical
University, Department of Endocrinology, Diabetes foot vessel receiving intervention was discharged after treatment.
According to Xu Zi-hui, director of the hospital post-doctoral endocrine, China's incidence of diabetes around 5%, Chongqing, the more one million have
diabetes. In diabetic patients, the "diabetic foot" is a serious complication of diabetes, the Town of diabetic foot patients hospitalized with diabetes
accounts for about 6%, of which there are 20-40% of patients would be due to various reasons accept the cruel amputations.
According to Xu Zi-Hui postdoctoral presentations, diabetic foot is due to the long-term blood glucose in patients with poorly controlled diabetes, nerve and
vascular lesions appear on the basis of foot injury and infection. Due to loss of sensory neuropathy to foot, vascular disease to ischemia, hypoxia, often
suffering from serious foot injury or Ganran Zao, ulcers, gangrene, a serious need amputation. The conventional medical treatment, mainly as an anti-
infection and anti-inflammatory role, for the healing of diabetic foot wounds with little success.
In their first carried out by interventional therapy in patients with diabetic foot Zheng Fen (a pseudonym) 15 years ago was diagnosed with diabetes. In the
long-term medication therapy, high blood glucose control the situation more and more to be desired. One month before the surgery, she found that his left
palm skin about 3 cm in diameter, ulcerated, conventional medicine can not heal after treatment, and with obvious pain in the left lower limb at rest, the
latter went to Xinqiao hospital.
Experts Zheng Fen double the lower limb vascular screening found that Zheng Fen due to prolonged diabetes, its vascular lesions have been severe, bilateral
iliac artery, femoral artery, deep femoral artery, popliteal artery atherosclerotic plaque formation of a broad, irregular stenosis of the lumen. Initial
segment of the left posterior tibial artery 95 percent blocked, the blood is almost can not.
Surgery, the doctor from the Zheng Fen right femoral artery puncture in angiography under the guidance of the contraction state of the "balloon" slowly into
the lesion was thrombus blocked, and then to make "balloon" expansion, expansion of blood vessels , it will remove blood clots blocking blood vessels. After
two hours of meticulous surgery to clear the vascular smooth for Zheng Fen, for lifting the risk of amputation.
Department of Endocrinology, Xinqiao Hospital, the southwest region in the first use of minimally invasive interventional technologies for diabetes caused by
vascular stenosis and occlusion of lower extremity peripheral vascular diseases such as treatment, and success, has now completed more than 30 cases of
treatment, the success rate of 90 % or more. This method can achieve the re-opening of stenosis or occlusion of blood vessels purposes can significantly
improve the diabetic foot numbness, pain, swelling, hair and other cold symptoms, significantly reduced the rate of diabetic foot amputation due to
mortality, and surgical safety, efficacy good less side-effects.
Xu Zi-hui postdoctoral description: general as an early manifestation of diabetic foot foot dry skin, sweat less than or pain, temperature sense disappear,
and then developed into a toe ulceration, infection or necrosis, and quickly spread to healthy feet organizations, lesions may be in a week as they affect
the bones, eventually leading to amputation.
Therefore, the diabetic foot is not to wait until tissue necrosis occurs after the need for interventional therapy, especially for elderly patients with
major trauma vascular reconstructive surgery, wound healing is not easy. Therefore, vascular reconstruction should be as long as possible before surgery to
achieve minimally invasive interventional vascular recanalization.
