彩色多普勒超声在糖尿病下肢动脉病变检查中的诊断价值.docVIP

彩色多普勒超声在糖尿病下肢动脉病变检查中的诊断价值 　　【摘要】 目的：为了早期发现糖尿病患者下肢动脉病变，探讨彩色多普勒超声在糖尿病患者下肢动脉病变检查中的诊断价值。方法：以89例糖尿病患者以及89例健康体检者为研究对象。采用彩色多普勒观察下肢动脉血管有无斑块、狭窄、闭塞，并测及血流动力学各参数的变化。结果：糖尿病组患者下肢动脉硬化斑块、狭窄以及闭塞检出的阳性率明显高于健康者组，差异有统计学意义（P0.05），特别是硬化斑块的检查两组患者检出率比较差异有统计学意义（P0.01）。其中糖尿病组下肢动脉斑块形成以胫前动脉、股浅动脉最为显著，狭窄以足背动脉最为显著，闭塞以胫前动脉最为显著。结论：彩色多普勒超声能有效诊断糖尿病患者早期下肢动脉病变，对糖尿病足的早期预防和治疗均意义重大，且无创伤、重复性好等值得临床应用。 　　【关键词】 彩色多普勒； 糖尿病； 下肢血管病变； 粥样硬化 　　中图分类号 R445.1 文献标识码 B 文章编号 1674-6805（2014）30-0040-02 　　The Value of Color Doppler in the Diagnosis of Diabetic Lower Extremity Arterial Lesions/WANG Qiong，LI Jian，ZHANG Yan-fen.//Chinese and Foreign Medical Research，2014，12（30）：40-41 　　【Abstract】 Objective：For early detection of diabetic lower extremity arterial disease，to evaluate the diagnostic value of color Doppler ultrasound examination in the lower extremity arterial disease in diabetic patients.Method：89 diabetic patients and 89 healthy subjects for the study.Using color Doppler observation of lower extremity arterial whether plaques，stenosis and occlusion，and then measuring the change in hemodynamic parameters.Result：The diabetic group were detected plaque，stenosis and occlusion in lower extremity arterial were significantly higher than the healthy group，the differences were statistically significant（P0.05），especially to check the detection rate differences of the two groups of patients with plaque was statistically significant（P0.01）.Diabetic group was lower extremity arterial plaque formation to the anterior tibial artery and superficial femoral artery was most significant，stenosis often occured in the dorsal artery，anterior tibial artery occlusion with the most obvious.Conclusion：Color Doppler ultrasound can be effective early diagnosis of lower extremity arterial disease in patients with diabetes， early prevention and treatment of diabetic foot are significant，and no trauma，and good repeatability worthy of clinical application. 　　【Key words】 Color Doppler； Diabetes； Lower extremity vascular disease； Athero