CAJ | 학술논문

目的观察糖尿病足(DF)病人下肢动脉形态学和血流动力学的改变. 方法正常受试者(NS)25例,糖尿病(DM)病人26例,非肢端坏疽糖尿病足病人(NGDF)30例和肢端坏疽糖尿病足(GDF)病人26例.应用Acuson128XP/10彩色电脑声像仪,线阵探头,频率7.0 MHz,观察下肢动脉管径和血流的变化. 结果 DF两组病人下肢动脉血管病变,主要从腘动脉部位开始动脉硬化,尤其以胫后和足背动脉最为显著,动脉狭窄和闭塞是肢端缺血、坏疽的主要病因.观察发现,DM病人已有下肢腘动脉血流速度增高的血流动力学改变, GDF组病人胫后和足背动脉血流速度明显低于其他各组. 结论彩色多普勒超声检测能帮助临床对糖尿病足下肢血管病变严重程度的判断、糖尿病足的诊断和治疗方案的制定有实用价值.
목적 관찰당뇨병족(DF)병인하지동맥형태학화혈류동역학적개변. 방법 정상수시자(NS)25례,당뇨병(DM)병인26례,비지단배저당뇨병족병인(NGDF)30례화지단배저당뇨병족(GDF)병인26례.응용Acuson128XP/10채색전뇌성상의,선진탐두,빈솔7.0 MHz,관찰하지동맥관경화혈류적변화. 결과 DF량조병인하지동맥혈관병변,주요종객동맥부위개시동맥경화,우기이경후화족배동맥최위현저,동맥협착화폐새시지단결혈、배저적주요병인.관찰발현,DM병인이유하지객동맥혈류속도증고적혈류동역학개변, GDF조병인경후화족배동맥혈류속도명현저우기타각조. 결론 채색다보륵초성검측능방조림상대당뇨병족하지혈관병변엄중정도적판단、당뇨병족적진단화치료방안적제정유실용개치.
Objective To observe the changes of hemodynamics and morphology of lower limbs artery in diabetic foot patients. Methods 26 patients with diabetes mellitus(DM),30 patients with non-gangrenous diabetic foot(NGDF),26 patients with gangrenous diabetic foot(GDF)and 25 normal subject(NS) were studied.The changes of intraluminal diameter and hemodynamics in lower limbs(arteries) were observed by color Doppler ultrasonography.Results Atherosclerosis was mainly in arteries below knee,including popliteal,tibial and dorsal arteries.Arterial stenosis and occlusion were the cause of gangrene.In diabetic patients,Vmax of popliteal artery was increased.The Vmax of posterior tibial artery and dorsal artery in GDF was lower than that of other groups.Conclusions The color Doppler ultrasonography should be useful for deciding the degree of stenosis and the diagnosis of DF.