摘要
目的探讨高频彩色多普勒超声对糖尿病患者下肢肌腱端病变的诊断价值。方法采用高频彩色多普勒超声测量30例糖尿病患者(A组)和30例健康成人(C组)下肢10个肌腱端(双侧股四头肌肌腱止点、髌腱起点、髌腱止点、跟腱止点、足底筋膜止点)厚度,分析异常肌腱端的超声图像。结果 A组肌腱端异常超声表现有肌腱端厚度增加,肌腱端内见钙化灶,可见明显点状彩色血流信号。A组双侧股四头肌肌腱止点、髌腱起点、髌腱止点的肌腱厚度较C组增厚(P<0.01)。A组异常肌腱总阳性率高于C组(64.7%vs.20.7%)(P<0.01)。结论糖尿病患者下肢异常肌腱发生率高,高频彩色多普勒超声有助于发现糖尿病患者下肢肌腱端病变。
Objective To explore the diagnostic value of high frequency color Doppler ultrasonography for lower limbs tendon end lesions in the patients with diabetes mellitus.Methods The thickness of ten lower limbs tendon ends（bilateral quadriceps tendon ending points,starting points and ending points of bilateral patellar tendon,bilateral achilles tendon ending points and bilateral plantar fascia ending points）were measured in 30 patients with diabetes mellitus（group A）and 30 healthy people（group C）by high frequency color Doppler ultrasonography.The ultrasound images of abnormal tendon ends were analyzed.Results Ultrasonic manifestations of abnormal tendon ends in group A were the increase of the thickness of tendon ends with calcification nidus and clear dot-like color blood flow signal.The bilateral quadriceps tendon ending points,starting points and ending points of bilateral patellar tendon were thicker in group A than those in group C（P〈0.01）.Total positive rate of abnormal tendons was higher in group A than that in group B（64.7% vs.20.7%）（P〈0.01）.Conclusion Incidence of lower limbs abnormal tendon ends is higher in the patients with diabetes mellitus.High frequency color Doppler ultrasonography is helpful to find the lesions of the lower limbs tendon ends in the patients with diabetes mellitus.
出处
《江苏医药》
CAS
2016年第5期522-525,共4页
Jiangsu Medical Journal
基金
江苏高校优势学科建设工程资助项目(JXl0231801)
关键词
糖尿病
肌腱
超声
Diabetes mellitus
Tendon
Ultrasound
