assessment of carotid arterial wall elasticity in type 2 diabetes mellitus patients with microalbuminuria by real-time ultrasound elastography评估颈动脉壁弹性在2型糖尿病患者微蛋白尿的实时超声弹性成像.pdfVIP

Hindawi Publishing Corporation International Journal of Endocrinology Volume 2012, Article ID 340974, 5 pages doi:10.1155/2012/340974 Clinical Study Assessment of Carotid Arterial Wall Elasticity in Type 2 Diabetes Mellitus Patients with Microalbuminuria by Real-Time Ultrasound Elastography Yu-Hong Zhang,1 Yuan Gao,1 and Ben-Li Su2 1 Department of Diagnostic Ultrasound, Second Affi liated Hospital of Dalian Medical University, Dalian 116023, China 2 Department of Endocrinology, Second Affi liated Hospital of Dalian Medical University, Dalian 116023, China Correspondence should be addressed to Yu-Hong Zhang, zhangyh 66@ Received 26 January 2012; Accepted 5 April 2012 Academic Editor: A. L. Barkan Copyright © 2012 Yu-Hong Zhang et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The aim of this study was to evaluate carotid arterial wall elasticity in type 2 diabetes mellitus (T2DM) with microalbuminuria by real-time ultrasound elastography. Two hundred and ten T2DM patients were divided into two groups according to levels of urinary albumin excretion (UAE): T2DM without microalbuminuria (T2DM1 group, 120) and T2DM with microalbuminuria (T2DM2 group, 90). The right common carotid arteries were examined by real-time ultrasound elastography. The strain ratio (SR, blood to arterial wall strain ratio) was calculated by dividing the strain value of the blood by that of the carotid arterial wall. The correlation between SR and general data was analyzed. The mean SR value ± SD of T2DM2 group was significantly higher than that of T2DM1 group (P 0.05). SR was positively and significantly correlated with UAE,