摘要
目的探讨利用彩色多普勒超声检查的方法实现对糖尿病患者下肢动脉病变的诊断。方法蚌医二附院已确诊56例糖尿病患者,现对其进行下肢动脉的彩色多普勒超声检查,观察血管内径、内中膜厚度、有无斑块、管腔狭窄程度及血流动力学变化,结果与无糖尿病的50例正常人进行对照。结果 56例糖尿病患者中下肢动脉有不同程度的硬化,动脉内中膜增厚结果为阳性36例,发病率为64.28%,斑块形成24例,发病率42.76%,轻度狭窄14例,发病率25.0%,明显狭窄11例,发病率18.65%,完全闭塞2例,发病率3.5%。对照组50例,检出结果为阳性4例,发病率12.5%,糖尿病下肢动脉病变检出阳性率明显高于糖尿病对照组(P<0.01)。结论探索糖尿病患者的下肢动脉彩色多普勒超声检查对临床研究有着重大意义。
Objective To investigate the value of color Doppler ultrasound（US） in the diagnosis of lower extremity peripheral arterial disease in patients with diabetes mellitus.Methods Ultrasonography was performed in a total of 56 patients with diabetes mellitus and 50 normal sunjects to observe the blood vessel diameter,artery intima-media thickness,plaque,constriction of blood vessels and hemodynamics parameters.Results All 56 cases were with different extent of artery sclerosis.36 cases were with increased intima-media thickness（64.28%）,24 cases with plaques（42.76%）,14 cases with mild constriction of blood vessels（25.0%）,11 cases with obvious constriction（18.65%）,and 2 cases with total occlusion（3.5%）.4 cases in the control group were with lower extremity peripheral arterial disease（12.5%）.The difference in the positive rate of lower extremity peripheral arterial disease was statistical significant（P〈0.01）.Conclusion Ultrasonography plays an important role in the diagnosis of lower extremity peripheral arterial disease in patients with diabetes mellitus.
出处
《中华全科医学》
2013年第8期1292-1293,F0003,共3页
Chinese Journal of General Practice
关键词
超声检查
糖尿病
下肢动脉病变
Ultrasonography
Diabetes
Lower extremity peripheral arterial disease
