Bronzi G, Orlando D, Venarucci V, D'Alonso L, Bellagamba G, Delle Monache G
USL n. 10 Ospedale S. Massimo, Penne, Pescara.
Minerva Med. 1991 Mar;82(3):119-23.
The Authors examine the possibilities of instrumental diagnosis in patients with the "diabetic foot" syndrome. The lack of clinical relevance of the so called "microangiopathy" is stressed, because. Indeed, either the "macroangiopathy" or the diabetic neuropathy are responsible for almost all the symptoms of this syndrome. In the differential diagnosis between these two major sequelae of diabetes, with consequently wide differences in the therapeutic choices, the Doppler ultrasound examination has been of paramount usefulness, because it is very sensitive and specific in detecting and localizing any lesion suggestive of macroangiopathy.
作者们研究了对患有“糖尿病足”综合征患者进行仪器诊断的可能性。强调了所谓“微血管病变”缺乏临床相关性，因为实际上，“大血管病变”或糖尿病神经病变几乎导致了该综合征的所有症状。在糖尿病这两种主要后遗症的鉴别诊断中，由于治疗选择差异很大，多普勒超声检查极为有用，因为它在检测和定位任何提示大血管病变的损伤方面非常敏感且具有特异性。
