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目的2型糖尿病并动脉硬化性闭塞(或称闭塞性动脉硬化)的临床特点。方法对本院1998年5月～2009年5月内科2型糖尿病并动脉硬化性闭塞病人共107例的临床资料进行回顾性分析。结果107例中:累及双侧髂总动脉及其以下部位3例,累及双侧颈动脉分叉处及其远端部位者1例,累及双侧股浅动脉及其远端部位者6例,累及双侧腘动脉及其远端部位者11例,累及双侧胫后动脉及其远端部位者25例,累及双侧胫前动脉及其远端部位者34例,同时累及双侧胫前、胫后动脉及其远端部位者12例,累及双侧腓动脉及其远端部位者5例。结论2型糖尿病并动脉硬化性闭塞时,最多累及的是胫前、胫后动脉及腓动脉或与其分支等中小动脉,且多为双侧,常伴肢体微血管病变,其临床表现及治疗较一般动脉硬化性闭塞为复杂。
Objective The clinical features of type 2 diabetes mellitus and arteriosclerosis obliterans (or obstructive arteriosclerosis). Methods The clinical data of 107 patients with type 2 diabetes mellitus and arteriosclerosis obliterans in our hospital from May 1998 to May 2009 were analyzed retrospectively. Results In 107 cases, involving the common iliac artery and the following three cases, involving the bifurcation of the carotid bifurcation and its distal part in 1 case, involving the bilateral superficial femoral artery and its distal part in 6 cases, Twenty-one patients involving bilateral popliteal artery and its distal parts, 25 cases involving the bilateral posterior tibial artery and its distal part, 34 cases involving the bilateral anterior tibial artery and its distal part, , Posterior tibial artery and its distal parts in 12 cases, involving the bilateral peroneal artery and its distal parts in 5 cases. Conclusions Type 2 diabetes mellitus and arteriosclerosis obliterans, the most involved are the anterior tibial and posterior tibial artery and the peroneal artery or its branches and other small arteries, and mostly bilateral, often accompanied by limb microvascular disease, its clinical manifestations and treatment more general Arteriosclerotic occlusion is complicated.