CAJ | 학술논문

糖尿病为老年人的常见病、多发病，其可并发多器官疾病，其中下肢动脉疾病是老年糖尿病病人最常见的慢性并发症之一，临床表现重者可出现下肢缺血性坏疽，甚至有截肢的可能。准确评价下肢动脉疾病对其临床诊断和治疗有重要意义。三维对比增强磁共振血管成像（3D CE-MRA）已经成为综合评价下肢动脉疾病的主要方法，对3D CE-MRA的成像原理及其在老年糖尿病病人下肢动脉疾病中的临床应用进展进行综述。
당뇨병위노년인적상견병、다발병，기가병발다기관질병，기중하지동맥질병시노년당뇨병병인최상견적만성병발증지일，림상표현중자가출현하지결혈성배저，심지유절지적가능。준학평개하지동맥질병대기림상진단화치료유중요의의。삼유대비증강자공진혈관성상（3D CE-MRA）이경성위종합평개하지동맥질병적주요방법，대3D CE-MRA적성상원리급기재노년당뇨병병인하지동맥질병중적림상응용진전진행종술。
Diabetes is a common disease of the elderly. It may be complicated by multiple organ disease. Lower extremity arterial disease is the most common chronic complications in the elderly patients with diabetes. The clinical manifestations may present severe lower limb ischemic gangrene and even amputation possible. An accurate assessment of lower extremity arterial disease is important for its clinical diagnosis and treatment. Three-dimensional contrast-enhanced magnetic resonance angiography (3D-MRA) has become the main method of comprehensive evaluation of lower extremity arterial disease. The principle of 3D-MRA and progress of its clinical application in elderly patients with diabetic lower extremity arterial disease were reviewed in this article.