彩色多普勒诊断糖尿病下肢血管病变的研究.docVIP

彩色多普勒诊断糖尿病下肢血管病变的研究 　　[摘要] 目的 分析彩色多普勒诊断糖尿病下肢血管病变的价值。方法 方便选择该院自2014年5月―2017年5月收治的117例糖尿病下肢病变血管患者作为观察组，选择同期年龄相近的117例非糖尿病下肢血管病变患者作为对照组，对所有患者均采取彩色多普勒超声诊断，对比两组患者诊断结果。 结果 两组患者出现斑块、狭窄及闭塞比率对比，观察组均明显高于对照组，差异有统计学意义（P0.05）；观察组，91.45%患者出现了斑块，27.35%为狭窄，10.26%为闭塞。两组患者下肢血流动力学对比差异明显，观察组明显低于对照组（P0.05），具体表现为观察组动脉血管内径较小，血流量较低，频谱较宽；其中股动脉内径、血流量及频谱分别为（6.47±0.42）mm、（33.98±4.82）mm3/s及（5.72±0.71）mm，足背动脉分别为（1.43±0.37）mm、（1.19±0.21）mm3/s及（6.54±1.53）mm。 结论 糖尿病下肢病变表现为动脉血管内径较小，血流量较低，频谱较宽，给予患者采用彩色多普勒超声检查，可将检测率提高，值得使用。 　　[关键词] 彩色多普勒超声；糖尿病下肢血管病变；诊断价值 　　[中图分类号] R445 [文献标识码] A [文章编号] 1674-0742（2017）11（c）-0193-03 　　[Abstract] Objective This paper tries to evaluate the value of color Doppler in the diagnosis of diabetic lower extremity vascular lesions. Methods A total of 117 patients with diabetic lower limb vascular disease in this hospital from May 2014 to May 2017 were convenient selected as the observation group， and 117 patients without diabetes mellitus were selected as the control group of the same period. All patients were treated with color Doppler ultrasound diagnosis， and the diagnostic results of the two groups were compared. Results The plaque， stenosis and occlusion ratio of the two groups were significantly higher in the observation group than in the control group（P0.05）. In the observation group 91.45% had plaque， 27.35% was stenosis and 10.26% was occluded. The hemodynamics of the lower extremities were significantly different between the two groups， the observation group was significantly lower than the control group（P0.05）. The arterial diameter of the observation group was smaller， the blood flow was lower and the spectrum was wider. The blood vessel volume of the lower extremity was significantly lower than that of the control group； The diameter， blood flow and spectrum of femoral artery were （6.47±0.42） mm（33.98±4.82） mm3/s and （5.72±0.71） mm respectively， and the dorsalis pedis artery were （1.43±0.37） mm， （1.19±0.21）mm3/s and （6.54 ± 1.53） mm. Conclusion Diabetic lower ext