摘要
目的:分析高频超声参数在糖尿病颈动脉粥样化病变程度评估中的应用效果。方法:选取2021年2月至2022年2月于我院就诊的糖尿病(DM)患者560例,根据冠状动脉造影(CAG)结果分为观察组和对照组,其中观察组为经临床检查确诊DM合并动脉粥样硬化,共390例,对照组为普通DM患者,共170例。将观察组按病变严重程度进行分组,DM合并单支病变为A组,共113例;合并双支病变为B组,共153例;合并双支以上数量病变为C组,共124例。所有患者经高频超声行颈动脉检查,各对比组间超声指标。结果:观察组IMT值、斑块检出例数、溃疡斑块数、斑块厚度、EP、AC、β、PEVβ高于对照组(P<0.05),在合并CHD的患者中,C组IMT值、斑块检出例数、溃疡斑块数、斑块厚度、EP、AC、β、PEVβ最高(P<0.05)。各组不均质回声斑块数量和斑块长度相当(P>0.05)。结论:经高频超声检查,粥样化病变越严重,颈动脉可检出的斑块数和溃疡斑块越多,血管硬化程度越高,斑块厚度越大,对于评估患者病情进展和脑血管事件发生概率有重要意义。
Objective:To analyze the effectiveness of high-frequency ultrasound parameters in the assessment of the extent of diabetic carotid atheromatous lesions.Methods:From February 2021 to February 2022,560 patients with diabetes mellitus(DM)attending our hospital were selected and divided into observation group and control group according to coronary angiography(CAG)results,among which the observation group was diagnosed with DM combined with atherosclerosis by clinical examination,totaling 390 cases,and the control group was ordinary DM patients,totaling 170 cases.The observation groups were grouped according to the severity of lesions,and the DM combined with single-branch lesions were group A,with 113 cases;combined with double-branch lesions were group B,with 153 cases;combined with more than double-branch number of lesions were group C,with 124 cases.All patients underwent carotid artery examination via high-frequency ultrasound,and ultrasound indices were compared between groups.Results:IMT value,number of plaque detection cases,number of ulcerated plaques,plaque thickness,EP,AC,β,and PEVβwere higher in the observation group(P<0.05).In patients with combined CHD,group C had the highest IMT value,number of plaque detection cases,number of ulcerated plaques,plaque thickness,EP,AC,β,and PEVβ(P<0.05).The number of inhomogeneous echogenic plaques and plaque length were comparable in all groups(P>0.05).Conclusion:The more severe the atheromatous lesion,the greater the number of detectable plaques and ulcerated plaques in the carotid artery,the greater the degree of vascular sclerosis,and the greater the plaque thickness,as determined by high-frequency ultrasound,are important for assessing the patient’s disease progression and probability of cerebrovascular events.
作者
刘玥含
Liu Yuehan(Department of Functional Examination,Beijing Aerospace General Hospital,Beijing 100076)
出处
《现代医用影像学》
2022年第12期2184-2188,共5页
Modern Medical Imageology
关键词
糖尿病
高频超声
颈动脉粥样化病变
病程评估
diabetes mellitus
high-frequency ultrasound
carotid atherosclerotic lesions
disease course evaluation
