中国糖尿病杂志
中國糖尿病雜誌
중국당뇨병잡지
CHINESE JOURNAL OF DIABETES
2006年
6期
432-434
,共3页
冯继明%柏宁野%吴敏%安增梅%余燕敏
馮繼明%柏寧野%吳敏%安增梅%餘燕敏
풍계명%백저야%오민%안증매%여연민
糖尿病足,超声检查,多普勒,彩色%下肢动脉
糖尿病足,超聲檢查,多普勒,綵色%下肢動脈
당뇨병족,초성검사,다보륵,채색%하지동맥
Lower limbs artery
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.
目的 觀察糖尿病足(DF)病人下肢動脈形態學和血流動力學的改變. 方法 正常受試者(NS)25例,糖尿病(DM)病人26例,非肢耑壞疽糖尿病足病人(NGDF)30例和肢耑壞疽糖尿病足(GDF)病人26例.應用Acuson128XP/10綵色電腦聲像儀,線陣探頭,頻率7.0 MHz,觀察下肢動脈管徑和血流的變化. 結果 DF兩組病人下肢動脈血管病變,主要從腘動脈部位開始動脈硬化,尤其以脛後和足揹動脈最為顯著,動脈狹窄和閉塞是肢耑缺血、壞疽的主要病因.觀察髮現,DM病人已有下肢腘動脈血流速度增高的血流動力學改變, GDF組病人脛後和足揹動脈血流速度明顯低于其他各組. 結論 綵色多普勒超聲檢測能幫助臨床對糖尿病足下肢血管病變嚴重程度的判斷、糖尿病足的診斷和治療方案的製定有實用價值.
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.