中华超声影像学杂志
中華超聲影像學雜誌
중화초성영상학잡지
CHINESE JOURNAL OF ULTRASONOGRAPHY
2014年
3期
214-217
,共4页
李秀云%邹春鹏%姜淑英%何慧疗%寇红菊%张其敏%赵雅萍
李秀雲%鄒春鵬%薑淑英%何慧療%寇紅菊%張其敏%趙雅萍
리수운%추춘붕%강숙영%하혜료%구홍국%장기민%조아평
超声检查%糖尿病,2型%颈动脉%弹性%二维应变成像
超聲檢查%糖尿病,2型%頸動脈%彈性%二維應變成像
초성검사%당뇨병,2형%경동맥%탄성%이유응변성상
Ultrasonography%Diabetes mellitus,type 2%Carotid artery%Elasticity%Two-dimensional strain imaging
目的 应用超声二维应变成像检测2型糖尿病患者颈动脉整体圆周应变(CS)、应变率(CSr)和硬度参数(β),探讨其评价颈动脉弹性的临床应用价值.方法 选择2型糖尿病患者60例为病例组,并分为颈动脉内中膜厚度(CIMT)增厚组(34例,1.0 mm＜CIMT≤1.2 mm)和斑块组(26例,CIMT＞ 1.2mm),33例正常人为对照组.在颈总动脉二维短轴图像测量收缩期峰值CS和CSr,根据超声二维应变计算动脉硬度参数β,并将β和CS分别与CIMT进行相关性分析.结果 CIMT增厚组与斑块组CS和CSr均低于对照组(P＜0.01),斑块组CS和CSr低于CIMT增厚组(P＜0.05);CIMT增厚组与斑块组β高于对照组(P＜0.01);斑块组β高于CIMT增厚组(P＜0.01);CS与CIMT显著相关(r =-0.79,P＜0.01),β与CIMT显著相关(r=0.72,P＜0.01).结论 超声二维应变成像能更早地检测出2型糖尿病患者颈动脉受累的信息,2型糖尿病患者颈动脉的变形程度随CIMT增厚而减低,硬度随CIMT增厚而增大.
目的 應用超聲二維應變成像檢測2型糖尿病患者頸動脈整體圓週應變(CS)、應變率(CSr)和硬度參數(β),探討其評價頸動脈彈性的臨床應用價值.方法 選擇2型糖尿病患者60例為病例組,併分為頸動脈內中膜厚度(CIMT)增厚組(34例,1.0 mm＜CIMT≤1.2 mm)和斑塊組(26例,CIMT＞ 1.2mm),33例正常人為對照組.在頸總動脈二維短軸圖像測量收縮期峰值CS和CSr,根據超聲二維應變計算動脈硬度參數β,併將β和CS分彆與CIMT進行相關性分析.結果 CIMT增厚組與斑塊組CS和CSr均低于對照組(P＜0.01),斑塊組CS和CSr低于CIMT增厚組(P＜0.05);CIMT增厚組與斑塊組β高于對照組(P＜0.01);斑塊組β高于CIMT增厚組(P＜0.01);CS與CIMT顯著相關(r =-0.79,P＜0.01),β與CIMT顯著相關(r=0.72,P＜0.01).結論 超聲二維應變成像能更早地檢測齣2型糖尿病患者頸動脈受纍的信息,2型糖尿病患者頸動脈的變形程度隨CIMT增厚而減低,硬度隨CIMT增厚而增大.
목적 응용초성이유응변성상검측2형당뇨병환자경동맥정체원주응변(CS)、응변솔(CSr)화경도삼수(β),탐토기평개경동맥탄성적림상응용개치.방법 선택2형당뇨병환자60례위병례조,병분위경동맥내중막후도(CIMT)증후조(34례,1.0 mm＜CIMT≤1.2 mm)화반괴조(26례,CIMT＞ 1.2mm),33례정상인위대조조.재경총동맥이유단축도상측량수축기봉치CS화CSr,근거초성이유응변계산동맥경도삼수β,병장β화CS분별여CIMT진행상관성분석.결과 CIMT증후조여반괴조CS화CSr균저우대조조(P＜0.01),반괴조CS화CSr저우CIMT증후조(P＜0.05);CIMT증후조여반괴조β고우대조조(P＜0.01);반괴조β고우CIMT증후조(P＜0.01);CS여CIMT현저상관(r =-0.79,P＜0.01),β여CIMT현저상관(r=0.72,P＜0.01).결론 초성이유응변성상능경조지검측출2형당뇨병환자경동맥수루적신식,2형당뇨병환자경동맥적변형정도수CIMT증후이감저,경도수CIMT증후이증대.
Objective Three parameters include circumferential strain (CS),circumferential strain rate (CSr) and stiffness parameter (β) were measured to evaluate the elasticity of carotid artery using two-dimensional(2D) strain imaging and evaluate its clinical value in patients with type 2 diabetes mellitus (T2DM).Methods 60 patients with T2DM were collected and divided into carotid intima-midia thickness (CIMT) thickeness group(34 cases,1.0 mm＜CIMT≤1.2 mm) and plaque group(26 case,CIMT＞ 1.2 mm).33 normal people were supplied as control group.The systolic global peak CS and CSr of the carotid artery were obtained from short-axis view of the common carotid artery and the stiffness parameters β was measured using 2D strain imaging.All the parameters were compared among the three groups.Results The CS and CSr were decreased and β was increased in patients with T2DM (P ＜ 0.01),The CS and CSr obtained from the plaque group were less than that of the CIMT thickeness group(P ＜0.05),but the β was higher than that of the CIMT thickeness group (P ＜0.01).The CS and β were correlated significantly with CIMT respectively (r =-0.79,P ＜ 0.01 ; r =0.72,P ＜ 0.01).Conclusions 2D strain imaging is a technique for early assessing the carotid artery elasticity in patients with T2DM,the thicker the CIMT is,the smaller the deformation is and the larger the β is.
