Puttemans T, Nemery C
Départment d'Imagerie Médicale, Clinique du Parc léopold, Rue Froissart 38, 1040 Bruxelles, Belgium.
Eur J Ultrasound. 1998 Feb;7(1):15-22. doi: 10.1016/s0929-8266(98)00008-1.
The use of color Doppler sonography (CDS) in the assessment of diabetic vascular complications is not yet well established. Among the complications of the disease, retinopathy, nephropathy and peripheral arteriopathy are classically due to a vascular attack, either a micro or a macroangiopathy. The results of CDS in the assessment of retinopathy and nephropathy are correlated with the degree of the disease and the biological findings, but the diagnostic and prognostic benefit of these results remains unclear compared to the conventional tests. Doppler sonography is more helpful in peripheral arteriopathy assessment; it may take the place of arteriography in the most clinical situations. The technique is particularly useful in case of proximal atheromatous-like arteriopathy. When the arteriopathy is distal, mediacalcinosis, specific to diabetes, may interfere with the functional test like the ankle/arm pressure index measurement.
彩色多普勒超声检查（CDS）在评估糖尿病血管并发症方面的应用尚未得到充分确立。在该疾病的并发症中，视网膜病变、肾病和外周动脉病变传统上是由血管攻击引起的，无论是微血管病变还是大血管病变。CDS在评估视网膜病变和肾病方面的结果与疾病程度及生物学检查结果相关，但与传统检查相比，这些结果的诊断和预后益处仍不明确。多普勒超声检查在外周动脉病变评估中更有帮助；在大多数临床情况下，它可以替代动脉造影。该技术在近端动脉粥样硬化样动脉病变的情况下特别有用。当动脉病变在远端时，糖尿病特有的血管钙化可能会干扰功能测试，如踝/臂压力指数测量。
