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2021 г. №3 Том 29

ОБЗОРЫ

А.С. ТОЛСТОКОРОВ, А.Н. КУЛИКОВА, И.В. ЛАРИH

АКТУАЛЬHЫЕ АСПЕКТЫ ДИАГHОСТИКИ И ЛЕЧЕHИЯ АТЕРОСКЛЕРОЗА АРТЕРИЙ HИЖHИХ КОHЕЧHОСТЕЙ У ПАЦИЕHТОВ С СИHДРОМОМ ДИАБЕТИЧЕСКОЙ СТОПЫ

Саратовский государственный медицинский университет им. В.И. Разумовского, г. Саратов,
Российская Федерация

Атеросклероз артерий нижних конечностей – частая патология при сахарном диабете, способствующая развитию ишемической и нейроишемической форм синдрома диабетической стопы. Ранняя диагностика поражения сосудов способствует снижению числа сердечно-сосудистых осложнений, выполненных ампутаций и повышению качества жизни данных пациентов. В обзоре представлен существующий на сегодняшний день арсенал современного комплексного обследования пациентов с синдромом диабетической стопы, включая клинические и функциональные скрининговые, неинвазивные и инвазивные методы лучевой диагностики, а также специфические оценочные шкалы и новые классификации, позволяющие детализировать и систематизировать трофические изменения стопы с возможностью прогнозирования течения патологического процесса. Использование открытых методов реваскуляризации помогает достичь в большом проценте случаев заживления диабетических язв, но проблемы, связанные с локализацией поражения, выбором кондуита для шунтирования и техническими аспектами, значительно ограничивают возможности этого метода лечения. Технический прогресс в развитии эндоваскулярной хирургии расширяет показания для успешной реваскуляризации. В статье освещены результаты открытых шунтирующих и эндоваскулярных методов в лечении атеросклеротического процесса в инфраингвинальном бассейне у пациентов с синдромом диабетической стопы.

Ключевые слова: атеросклероз, артерии нижних конечностей, синдром диабетической стопы, сахарный диабет, реваскуляризация
с. 360-369 оригинального издания
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Адрес для корреспонденции:
410012, Российская Федерация,
г. Саратов, ул. Большая Казачья, 112,
Саратовский государственный медицинский университет имени В.И. Разумовского,
кафедра хирургии и онкологии,
тел. раб.: 898-73-07-84-31
e-mail: i.larin.v@yandex.ru
Ларин Игорь Владимирович
Cведения об авторах:
Толстокоров Александр Сергеевич, д.м.н., профессор, заведующий кафедрой хирургии и онкологии, Саратовский государственный медицинский университет им. В.И. Разумовского Минздрава России, г. Саратов, Российская Федерация.
https://orcid.org/0000-0002-8541-5330
Куликова Алла Николаевна, д.м.н., профессор кафедры госпитальной хирургии лечебного факультета, Саратовский государственный медицинский университет им. В.И. Разумовского Минздрава России, г. Саратов, Российская Федерация.
https://orcid.org/0000-0002-7116-4219
Ларин Игорь Владимирович, аспирант кафедры хирургии и онкологии, Саратовский государственный медицинский университет им. В.И. Разумовского Минздрава России, г. Саратов, Российская Федерация.
https://orcid.org/0000-0001-7979-3071
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