摘要
目的探讨彩色多普勒超声在2型糖尿病患者下肢动脉病变诊断中的临床价值。方法选取102例2型糖尿病患者和同期102名进行健康体检者,分为2型糖尿病组和非糖尿病组,均用彩色多普勒超声仪对其下肢动脉进行检测分析,比较2组下肢动脉硬化斑块、血管狭窄、血管闭塞、踝肱指数及腘动脉血液流变学参数的差异。结果 2型糖尿病组下肢动脉出现硬化斑块、血管狭窄、血管闭塞发生率分别为66.7%、19.6%、13.7%,均显著高于非糖尿病组的16.7%、6.9%、0%(P<0.05)。2型糖尿病组踝肱指数、腘动脉血管内径、血流量、频谱宽度分别为(0.7±0.1)、(5.1±0.7)mm、(11.2±4.5)mm3/s、(4.5±0.7)mm,均显著低于非糖尿病组(P<0.05)。结论彩色多普勒超声诊断仪对糖尿病患者下肢动脉病变的早期诊断具有重要临床意义,值得推广使用。
Objective To investigate the clinical value of color Doppler ultrasound in diagnosing lower extremity arterial disease of type Ⅱ diabetes patients. Methods 102 type Ⅱ diabetes patients and 102 healthy controls were divided into diabetes group and non-diabetic group. Both of the two groups were checked by color Doppler ultrasound in lower extremity artery. The atheromatous plaques, vascular stenosis, vascular occlusion in lower extremity artery rate and ankle branchiol indet, rheology parameters of Popliteal artery blood of the two groups were compared. Results The atherosclerotic plaque, vascular stenosis, vascular occlusion vascular stenosis, vascular occlusion in lower extremity artery rate of diabetes group were 66.7%, 19.6%, 13.7%, signifcantly higher than non-diabetic group （P〈0.05）. The ankle branchiol indet,vessel diameter, blood fow, spectrum width of arteria poplitea were （0.7±0.1）, （5.1±0.7）mm, （5.1±0.7）mm3/s, （4.5±0.7）mm, those were signifcantly lower than non-diabetic group （P〈0.05）. Conclusion Color Doppler ultrasound has important clinical signifcance in diagnosing lower extremity arterial disease of type Ⅱ diabetes patients. It’s worthy of clinical widely used.
出处
《当代医学》
2016年第29期61-62,共2页
Contemporary Medicine
关键词
彩色多普勒超声
2型糖尿病
下肢动脉病变
Color Doppler ultrasound
TypeⅡdiabetes
Lower extremity arterial disease
