彩色多普勒超声检查对老年Ⅱ型糖尿病患者下肢血管病变的临床指导意义  

Clinical application of color doppler examination in lower extremity vascular lesion for elderly type Ⅱ diabetics

作　　者：潘瑞喆[1] 廖锦堂[1] 肖萤[1] 黄铁汉[1] 王书初[1] 黄渊金[1] 

机构地区：[1]中南大学湘雅医院超声科,湖南长沙410008

出　　处：《中国医学工程》2007年第6期477-479,共3页China Medical Engineering

摘　　要：目的探讨老年Ⅱ型糖尿病患者下肢动脉血管病变的彩色多普勒超声检查诊断价值,寻找早期诊断方法。方法应用彩色多普勒超声检查对69例确诊为Ⅱ型糖尿病的老年患者和28例同期无糖尿病的患者下肢动脉血管的形态、血管壁内-中膜厚度(IMT)、有无斑块、管腔狭窄或闭塞及血流动力学改变进行比较。结果糖尿病患者下肢动脉血管管腔的硬化斑块、狭窄和闭塞的发生率明显高于对照组;硬化斑块的发生率以股动脉及月国动脉最为常见,而管腔狭窄、闭塞率以及月国动脉以下的远端动脉血管最为明显。结论彩色多普勒超声检查对老年糖尿病患者下肢血管病变的早期诊断、预防及治疗有重要的临床指导意义。[ Objective] To discuss the value of color doppler ultrasonography in diagnosing lower extremity artery disease in old age type Ⅱ diabetics mellitus patients. [Methods] Bilateral lower extremity artery of 69 patients with Type Ⅱ diabetics mellitus in old age were given ultrasonic examination while 28 cases of meantime in paients were as control. IMT （intlma-media thickness）, incidence of plaque, stenosis, oellusion and hemodynamie index were compared between the two groups. [Results] The incidence of lower extremity atheroselerotic plaque, arterial steno- sis and obliterlation of type Ⅱ diabetes in old age was apparently higher than that of control group. The incidence of atheroselerotic plaque was mainly involved in femoral and popliteal artery. While the incidence of stenosis and obliterlation were mainly involved in the distal arteries below popliteal artery, especially, anterior tibial artery, posterior tibial artery and pedis dorsal artery. [Conclusions] Color doppler flow imaging is an important clinical examination for the diagnosis, prevention and treatment in type Ⅱ diabetes patients in old age.

关 键 词：彩色多普勒 糖尿病 下肢血管病变 

分 类 号：R587.1[医药卫生—内分泌]