CAJ | 학술논문

目的探讨彩色多普勒超声对糖尿病下肢动脉病变的诊断价值.方法对糖尿病组与非糖尿病组进行双下肢动脉检查对比,观察其血管形态、内一中膜厚度(IMT)、粥样硬化斑块、管腔狭窄或闭塞部位、血流动力学改变情况.结果糖尿病组下肢动脉IMT增厚、硬化斑块、狭窄Ⅰ级、狭窄Ⅱ级及闭塞阳性率分别为89.47%、85.52%、40.79%、23.68%及11.84%,均明显高于对照组阳性率16.67%、13.33%、9:99%、6.66%及0.糖尿病组与对照组比较差异有显著性(P＜0.05).结论彩色多普勒超声对下肢动脉病变诊断具有灵敏度高、直观性好、可重复性、无创伤、价格便宜等优点,应列为DM患者定期常规检查项目之一,值得临床医生作为诊断下肢动脉病变的首选检查推广应用.
목적 탐토채색다보륵초성대당뇨병하지동맥병변적진단개치.방법 대당뇨병조여비당뇨병조진행쌍하지동맥검사대비,관찰기혈관형태、내일중막후도(IMT)、죽양경화반괴、관강협착혹폐새부위、혈류동역학개변정황.결과 당뇨병조하지동맥IMT증후、경화반괴、협착Ⅰ급、협착Ⅱ급급폐새양성솔분별위89.47%、85.52%、40.79%、23.68%급11.84%,균명현고우대조조양성솔16.67%、13.33%、9:99%、6.66%급0.당뇨병조여대조조비교차이유현저성(P＜0.05).결론 채색다보륵초성대하지동맥병변진단구유령민도고、직관성호、가중복성、무창상、개격편의등우점,응렬위DM환자정기상규검사항목지일,치득림상의생작위진단하지동맥병변적수선검사추엄응용.
Objective To explore the diagnostic value of color doppler ultrasound on anery of lower extremity pathological changes in diabetes.1iltthtMs Through observing their blood vessel shape,IMT thickness,gruel type hardening plaque,stenosis or blocking up and blood stream dynamics cbange situation,we tried to inspect the double lower limb artery and compare the diabetes group with the nonin the observed group were more than those in control group,and there was significant difference between them(P＜0.05)Conclusion The diagnostic of color doppler ultrasound on artery of lower extremity pathological changes in diabetes has the advantages of high sensitivity,good intuitive and repetitive,noninvasive and inexpansive,so it should be one of regular routine inspection projects for DM patient and deserve to clinical application.