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[Surgical and conservative treatment of the ischemic form of the diabetic foot syndrome].

The efficacy of the prolonged intraarterial infusion (PIAI) of the suspendized hydrocortisole for the correction of the distal angiitis of the lower limbs in patients with the diabetic foot syndrome was analyzed. The 1st group involved 51 patients, who received the hydrocortisole PIAI alone during 3-4 days. The 2nd group of 48 patients received distal autovenous by-pass surgery. The 3rd group of 13 patients received the combination of the surgical treatment and the PIAI. 95.5% patients of the 1st group showed remission of the disease during the first follow up year. Among patients of the 2nd group by-passes were active in 88%. After 4 years of follow up the cumulative by-pass permeability and limb preservation were registered in 45 and 50.9%, respectively. 90% of the patients from the 3rd group, who had received the complex treatment, showed by-pass permeability and limb preservation.