performance for the foot pain, foot ulcers and foot gangrene and other diseases, the most common are ulcers, 15% of diabetes occur throughout life in
patients with foot ulcers. Diabetic foot according to their performance in clinical practice is divided into six:
0: No open lesions, but after checking the performance of a clear lack of blood supply, such as the dorsalis pedis artery pulse significantly decreased;
Level 1: superficial ulcers, blisters or other damage may be caused by, or spontaneous generation;
2: ulcer formation, deep tendon, ligament, bone and joint;
Level 3: deep ulcer infection and abscess with osteomyelitis and sinus formation;
4: There is toe and / or part of the foot gangrene;
5: full-leg gangrene, the general need for amputation.
Diabetic patients with diabetic foot is the most common cause of admission, diabetes among hospitalized patients, 20% were due to foot disease caused 89% of
the depth of foot ulcer patients required hospitalization for more than a month. In all patients required amputation, diabetic foot is the first reason. In
the United States each year 6.5% of the needs of the patients with diabetic foot amputation, non-diabetic patients more than 10 times.
Traditional treatment of diabetic foot is to control blood sugar, anti-inflammation, improve blood circulation, local dressing and so on, symptomatic
treatment, ulcer healing slowly, and treatment is not ideal.
In fact, most patients with diabetic foot there was a significant hardening of the lower extremity arterial occlusive disease, for these people, intervention
can keep the limb. In addition, a wide range of diabetic foot vascular disease, bilateral lesions involving the number of multi-branch arteries, and were
phased distribution of surgical difficult to deal with a broader range of lesions, and interventional treatment can deal with.
Interventional treatment, there are two principal means: right lower limb vascular segmental stenosis, the use of balloon catheter for expansion of blood
vessels; right to use stent stenosis, the blood vessel smooth. Intervention before and after treatment, combined with control of blood sugar, anti-
infectives, anticoagulation, improve microcirculation and local dressing such as symptomatic supportive care, diabetic foot ulcers heal faster, can greatly
reduce the morbidity of patients, short-term effect is satisfactory.
