糖尿病患者胫前、胫后动脉闭塞的彩色多普勒探析.pdfVIP

摘 要 糖尿病患者胫前、胫后动脉闭塞的彩色多普勒 超声分析 研究生：许兴悦 导师：娜迪热.铁列吾汗 副教授 摘 要 目的: 探讨彩色多普勒超声(Color Doppler Ultrasonography, CDU)对糖尿病 （Diabetes Mellitus, DM ）患者胫前、胫后动脉闭塞的诊断价值。方法:分析经我院确 诊的60例糖尿病患者胫前、胫后动脉彩色多普勒超声检查声像图表现，与其同期的 数字减影动脉造影（Digital subtraction angiography , DSA ）检查结果进行对比。结果: （1）胫前动脉、胫后动脉闭塞性病变的声像图表现：彩色多普勒二维超声声像图显 示闭塞段、闭塞前段及闭塞后段血管管壁僵硬，搏动减弱或是消失，内- 中膜厚度呈 不规则增厚，回声增强，管壁上可见大小不等的中高回声斑块，病变段管壁正常结 构消失，管腔内可见中低回声实质性血栓结构充填；（2 ）彩色多普勒超声检查对糖 尿病患者胫前动脉、胫后动脉闭塞性病变诊断的灵敏度分别为100％、91 ％，特异度 分别为86 ％、100％，诊断的准确度分别为91 ％、86 ％。结论: （1）胫前、胫后动脉 管腔内的中低回声实质性血栓结构及管腔内未探及彩色多普勒血流信号的彩色多普 勒超声声像图表现可为胫前动脉、胫后动脉闭塞性病变提供可靠的诊断依据；（2 ） 彩色多普勒超声检查下肢胫前动脉、胫后动脉闭塞性病变具有较高的灵敏度和一定 的特异度。 关键词: 彩色多普勒超声；糖尿病；闭塞 —1— 新疆医科大学医学硕士学位论文 The Investigation of Color Doppler Ultrasonography to Anterior and Posterior Tibial Artery Occlusion Diseases in Patients with Diabetes Mellitus postgraduate ：Xu Xingyue Supervisor: Vice Prof.Nadira Telewhan Abstract Objective: To explore the diagnostic value of Color Doppler Ultrasound in diabetes mellitus （DM ） patients with anterior and posterior tibial artery occlusive disease. Methods: Analyzed the sonographic appearance of Color Doppler Ultrasonography about the sixty patients with DM in our hospital whose lower extremity arterial were given the examina- tion of Color Doppler Ultrasonographic (CDU) and Digital Subtraction Angiograph (DSA) respectively, and compared with everyone’s results between these two examinati - on. Result: The sonographic characteristics of atherosclerosis obstruction, found by Do- ppler Sonography, include: (1) Irregular thickened intimia, formation of atherosclerotic hyperechogenic plaques, stenosis and obstruction of the pathological arteries