下肢糖尿病性动脉疾病

A Fredenrich (Praticien hospitalier) , P.-J Bouillanne (Praticien hospitalier) , M Batt (Professeur)
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引用次数: 5

摘要

下肢动脉病变是糖尿病的常见并发症,被认为是大血管病变的标志。除了高血糖外,吸烟也是动脉病变的一个潜在危险因素。在糖尿病患者中,该病的临床症状并不特异性,但动脉病变很少是孤立的,往往合并神经病变和感染,导致被称为“糖尿病足”的方面。一线非侵入性血管检查经常进行,但下肢动脉造影经常是必需的;糖尿病患者应谨慎使用该手术。治疗管理需要首先评估和治疗感染。然后可以考虑使用经皮血管成形术或旁路修复动脉,但任何步骤都可能发生截肢。无论如何,这种疾病必须由一个训练有素的多学科团队来管理,为糖尿病患者提供最好的预后,以减少动脉病变的负担。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Artériopathie diabétique des membres inférieurs

Lower limb arteriopathy is a common complication of diabetes mellitus, considered as an hallmark of macroangiopathy. In addition to hyperglycemia, smoking is a potent risk factor for the development of arteriopathy. In diabetic patients, clinical signs of the disease are not specific, but arteriopathy is rarely isolated and often combined with neuropathy and infection, leading to the aspect known as the “diabetic foot”. First-line non-invasive vascular investigations are always carried out, but lower limb arteriography is often required; this procedure should be cautiously used in diabetic patients. Therapeutic management requires at first assessment and treatment of infection. Then arterial restoration can be considered, using either percutaneous angioplasty or by-pass, but amputation can occur at any step. Anyway, this disease has to be managed by a trained multidisciplinary team to provide diabetic patients with the best prognosis in order to reduce the burden of arteriopathy.

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