Fuchs U, Caffier P, Schulz H G, Wieniecki P
Virchows Arch A Pathol Anat Histopathol. 1985;407(4):431-9. doi: 10.1007/BF00709989.
Calcification of the media of the arteries of the lower limbs, giving a linear type of calcification roentgenologically is typical for diabetic arteriosclerosis. Spotty calcification of the arteries of the lower extremity, which histologically is found in the intima, is also seen a little more often in diabetics with gangrene. There are no major differences between the other histological vascular structures of diabetics and arteriosclerotics. Maximal stenosis of the lumen is found more peripherally in diabetics than in persons with normal carbohydrate metabolism. The results favour the idea of predominant femoropopliteal occlusion in arteriosclerosis and popliteal-tibial occlusion in diabetics.
下肢动脉中层钙化,在X线片上呈现线性钙化类型,这是糖尿病性动脉硬化的典型表现。下肢动脉的斑点状钙化,组织学上发现位于内膜,在伴有坏疽的糖尿病患者中也稍多见。糖尿病患者与动脉硬化患者的其他组织学血管结构之间没有重大差异。与碳水化合物代谢正常的人相比,糖尿病患者管腔的最大狭窄更常见于外周。这些结果支持以下观点:动脉硬化主要是股腘动脉闭塞,而糖尿病主要是腘胫动脉闭塞。