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彩色多普勒超声在2型糖尿病下肢血管疾病诊断中的价值及相关因素分析

The value of color Doppler ultrasound in the diagnosis of lower extremity vascular disease in type 2 diabetes and an analysis of related factors.

作者信息

Jiang Le, Zhao Yuehua

机构信息

Department of Ultrasound Medicine, First People's Hospital of Xuzhou, Xuzhou, China.

Department of Ultrasound Medicine, First People's Hospital of Xuzhou, Xuzhou, China -

出版信息

Minerva Endocrinol. 2017 Sep;42(3):223-227. doi: 10.23736/S0391-1977.16.02352-X. Epub 2015 May 15.

Abstract

BACKGROUND

The aim of this paper is to explore the application and clinical significance of color Doppler ultrasound (CDU) in diagnosing lower extremity vascular disease in type 2 diabetes mellitus (T2DM) patients.

METHODS

The lower extremity arteries of 81 patients with T2DM and 50 control patients were examined by CDU for blood vessel diameter, intima-media thickness, plaque on the vessel wall, lumen stenosis and filling defect in blood flow. The occurrence of diabetes mellitus was investigated in additional T2DM patients of various ages.

RESULTS

Left popliteal artery, left and right dorsal artery of the foot; the incidence of atherosclerotic plaque, stenosis and occlusion of the lower extremity vascular lumen of T2DM patients was significantly higher than that in the control group. Vascular disease in the lower extremities was mainly small and medium vascular disease (lower than popliteal artery), especially the dorsal artery of the foot, for which the difference was statistically significant (P<0.05). The elder patients had a greater chance of lower extremity arterial disease.

CONCLUSIONS

CDU is the examination method of preference for T2DM patients with lower extremity vascular disease. It has a very important clinical significance for early diagnosis, prevention and treatment.

摘要

背景

本文旨在探讨彩色多普勒超声(CDU)在诊断2型糖尿病(T2DM)患者下肢血管疾病中的应用及临床意义。

方法

对81例T2DM患者和50例对照患者的下肢动脉进行CDU检查,测量血管直径、内膜中层厚度、血管壁斑块、管腔狭窄及血流充盈缺损情况。对不同年龄段的T2DM患者进行糖尿病发病情况调查。

结果

T2DM患者的左腘动脉、左、右足背动脉;下肢血管腔的动脉粥样硬化斑块、狭窄及闭塞发生率显著高于对照组。下肢血管疾病主要为中小血管疾病(低于腘动脉),尤其是足背动脉,差异有统计学意义(P<0.05)。老年患者发生下肢动脉疾病的几率更大。

结论

CDU是T2DM下肢血管疾病患者的首选检查方法。对早期诊断、预防和治疗具有非常重要的临床意义。

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