彩色多普勒超声在2型糖尿病患者足背动脉病变中的应用价值.docVIP

彩色多普勒超声在2型糖尿病患者足背动脉病变中的应用价值 [摘要] 目的 探讨彩色多普勒超声在2型糖尿病患者足背动脉病变中的应用价值。 方法 选择在我院就诊的2型糖尿病患者60例为观察组，另选择同期在我院就诊的非糖尿病患者60例为对照组。两组患者均在首次就诊时接受足背动脉彩色多普勒超声检查，比较并分析两组足背动脉血管内径、中层内膜厚度、粥样斑块及血流动力学差异。 结果 两组患者足背动脉的血管走形、管壁回声及内膜情况等比较，差异均有统计学意义（P 0.01），观察组足背动脉内膜中层厚度、粥样硬化斑块数量大于对照组（P 0.05或P 0.01），观察组管腔内径小于对照组（P 0.05），观察组足背动脉血流频谱可见双相波或三相波，Vs、Vd、Vr流速均较对照组减慢（P 0.05或P 0.01）。 结论 采用彩色多普勒超声检测可以在早期准确诊断2型糖尿病患者足背动脉病变，为临床的诊断及治疗提供依据，具有重要的临床应用价值。 [关键词] 2型糖尿病；足背动脉病变；彩色多普勒超声 [中图分类号] R445.1；R587.2 [文献标识码] B [文章编号] 1673-9701（2015）01-0049-03 Application value of color doppler ultrasonography on acrotarsium arterial disease of patients with type 2 diabetes mellitus NIU Shuzhen1 WANG Jun2 1.Ultrasound Department， Shaoxing Center Hospital in Zhejiang Province， Shaoxing 312030，China；2.Endocrinology Department，the First People’s Hospital of Linhai City in Zhejiang Province， Linhai 317000，China [Abstract] Objective To discuss application value of color doppler ultrasonography on acrotarsium arterial disease of patients with type 2 diabetes mellitus. Methods A total of 60 cases of patients with type 2 diabetes mellitus were selected， who were given the medical treatment in the hospital， and 60 cases of patients without diabetes mellitus in the same period were selected as control group. The patients in two groups were given color doppler ultrasonography on acrotarsium artery for the first visit， and the differences of vessel diameter， intima media thickness， atheromatous plaque and hemodynamics of acrotarsium artery were compared and analyzed. Results After comparison，vascular distribution， vessel wall echo， inner membrance and etc of acrotarsium artery of patients in two groups were showed significant difference （P 　　[Key words] Type 2 Diabetes Mellitus；Acrotarsium arterial disease；Color doppler ultrasonography 2型糖尿病是内分泌科最常见的疾病之一，好发于中老年肥胖患者，占所有糖尿病患者的90%以上[1]。2型糖尿病发病原因尚不明确，但有研究表明其与肥胖、遗传因素、环境因素等密切相关[2]。大血管病变是2型糖尿病最常见的并发症，足背动脉是最常累及的血管之一[3]。足背动脉病变如不及时治疗可能导致糖尿病足的发生，严重者甚至致残或导致患者死亡，但目前临床上往往难以早期诊断足背动脉病变。本次研究采用彩色多普勒超声检测2型