中华医学超声杂志（电子版）
中華醫學超聲雜誌（電子版）
중화의학초성잡지（전자판）
CHINESE JOURNAL OF MEDICAL ULTRASOUND(ELECTRONICAL VISION)
2008年
2期
279-282
,共4页
兰正福%乔华%姚宏辉%刘丽红%皮德凤%代全明%刘冰冰%李响%郝丽君%郑磊%武秀芹
蘭正福%喬華%姚宏輝%劉麗紅%皮德鳳%代全明%劉冰冰%李響%郝麗君%鄭磊%武秀芹
란정복%교화%요굉휘%류려홍%피덕봉%대전명%류빙빙%리향%학려군%정뢰%무수근
超声检查%非胰岛素依赖型糖尿病%动脉硬化
超聲檢查%非胰島素依賴型糖尿病%動脈硬化
초성검사%비이도소의뢰형당뇨병%동맥경화
Ultrasonography%Non-insulin-dependent diabetes mellitus%Arteriosclerosis
目的 探讨2型糖尿病患者病情与足背动脉血管病变的相关性.方法 对临床确诊的97例2型糖尿病患者与46例同期住院的非2型糖尿病患者,行常规超声检查观察足背动脉,测量血管内膜-中层厚度,观察内膜面有无毛糙、斑块,血管腔有无狭窄或闭塞;行彩色多普勒血流成像(CDFI)观察血管腔内彩色血流信号有无充盈缺损及血流频谱形态.结果 2型糖尿病患者足背动脉血管内中膜均有不同程度的改变,合并有高脂血症和高血压的患者足背动脉血管和大血管分叉处均有明显病变,而单项血糖增高患者除足背动脉血管内膜及中膜血管病变外,大血管分叉处病变程度相对较轻.2型糖尿病患者足背动脉血管狭窄(6.19%),闭塞(2.06%)的发生率明显高于对照组(P<0.01).结论 2型糖尿病患者足背动脉血管内膜及中膜病变程度与病情有明显相关性.彩色多普勒超声检测足背动脉血管可评估2型糖尿病患者的病情及预后,对早期诊断、预防及治疗具有重要的临床应用价值.
目的 探討2型糖尿病患者病情與足揹動脈血管病變的相關性.方法 對臨床確診的97例2型糖尿病患者與46例同期住院的非2型糖尿病患者,行常規超聲檢查觀察足揹動脈,測量血管內膜-中層厚度,觀察內膜麵有無毛糙、斑塊,血管腔有無狹窄或閉塞;行綵色多普勒血流成像(CDFI)觀察血管腔內綵色血流信號有無充盈缺損及血流頻譜形態.結果 2型糖尿病患者足揹動脈血管內中膜均有不同程度的改變,閤併有高脂血癥和高血壓的患者足揹動脈血管和大血管分扠處均有明顯病變,而單項血糖增高患者除足揹動脈血管內膜及中膜血管病變外,大血管分扠處病變程度相對較輕.2型糖尿病患者足揹動脈血管狹窄(6.19%),閉塞(2.06%)的髮生率明顯高于對照組(P<0.01).結論 2型糖尿病患者足揹動脈血管內膜及中膜病變程度與病情有明顯相關性.綵色多普勒超聲檢測足揹動脈血管可評估2型糖尿病患者的病情及預後,對早期診斷、預防及治療具有重要的臨床應用價值.
목적 탐토2형당뇨병환자병정여족배동맥혈관병변적상관성.방법 대림상학진적97례2형당뇨병환자여46례동기주원적비2형당뇨병환자,행상규초성검사관찰족배동맥,측량혈관내막-중층후도,관찰내막면유무모조、반괴,혈관강유무협착혹폐새;행채색다보륵혈류성상(CDFI)관찰혈관강내채색혈류신호유무충영결손급혈류빈보형태.결과 2형당뇨병환자족배동맥혈관내중막균유불동정도적개변,합병유고지혈증화고혈압적환자족배동맥혈관화대혈관분차처균유명현병변,이단항혈당증고환자제족배동맥혈관내막급중막혈관병변외,대혈관분차처병변정도상대교경.2형당뇨병환자족배동맥혈관협착(6.19%),폐새(2.06%)적발생솔명현고우대조조(P<0.01).결론 2형당뇨병환자족배동맥혈관내막급중막병변정도여병정유명현상관성.채색다보륵초성검측족배동맥혈관가평고2형당뇨병환자적병정급예후,대조기진단、예방급치료구유중요적림상응용개치.
Objective To evaluate the correlation between lesions of dorsal artery of foot and type 2 diabetes on CDFI. Methods Dorsal artery of foot was examinated in 97 cases with type 2 diabetes and 46 cases without diabetes mellitus. Results There were variable changes in intima-media of dorsal artery of foot in type 2 diabetes patients.And the patients with hyperlipidemia and hypertension showed serious lesions in the dorsal artery of foot and bifurcation of the blood vessel .Simple arteriosclerosis showed not only lesions in intima-media of dorsal artery of foot but also relative mild lesions in bifurcation of the blood vessel. Blood vessel lesion incidence in type 2 diabetes was significantly higher than that of the control group (P<0.01). Conclusions There was a significant correlation between lesions of dorsal artery of foot and type 2 diabetes patient's condition. CDFI is an effective method in evaluating patient's condition, degree and prognosis of type 2 diabetes, and has an important clinical value in early diagnosis, prognosis and treatment.Simple arteriosclerosis showed focal lesions in bifurcation of the blood vessel while dorsal artery of foot showed relatively mild lesions .
