2型糖尿病患者下肢动脉病变造影结果分析  

Analysis of Lower-extremity Arterial Disease in Type 2 Diabetes Mellitus by Angiography

作　　者：吕新华[1] 曹明艳[1] 

机构地区：[1]湘南学院附属医院,湖南郴州423000

出　　处：《湘南学院学报（医学版）》2007年第4期4-6,共3页Journal of Xiangnan University（Medical Sciences）

摘　　要：目的探讨2型糖尿病患者下肢动脉病变的分布特征。方法对25例非糖尿病性下肢动脉硬化患者,30例糖尿病性下肢动脉硬化患者行下肢动脉造影,以造影显示的动脉管腔狭窄≥50%为阳性标准,分析以上两种疾病时下肢动脉各分支受累情况,并行统计学分析。结果非糖尿病组患者髂动脉、股浅动脉、足背动脉受累明显高于糖尿病组(P<0.001),糖尿病组患者胫前动脉、胫后动脉、腓动脉受累明显高于非糖尿病组(P<0.001),股深动脉病变在两组患者无显著性差异(P>0.05)。结论2型糖尿病患者下肢动脉病变主要累及膝以下胫腓动脉,非糖尿病患者以髂动脉、股浅动脉和足背动脉病变为主。Objective To explore the distribution feature of lower-extremity arterial disease（LEAD） in type 2 diabetes mellitus（T2DM）. Methods Fifty-five patients of LEAD were included, 25 with non-diabetes mellitus （non-DM） （n = 25）,30 with T2DM （n = 30）,they were given lower-extremity arterial angiography. The positive was greater than or equal 50% stenosis of artery, and every branch of lower - extremity arterial to be involved in were analyzed. Results The process of iliac artery, superficial femoral artery and artery of foot was significantly higher in non-DM group than that in T2DM group（ P 〈 0.001 ）. The process of anterior tibial artery,posterior tibial artery and fibular artery was significantly higher in T2DM group than that in non-DM group（ P 〈 0.001 ）. No significant difference in deep femoral artery was observed in two groups （ P 〉0.05 ）. Conclusion The LEAD in T2DM involved mainly tibial artery and fibular artery. Non-DM involved mainly iliac artery, superficial femoral artery and artery of foot.

关 键 词：2型糖尿病 下肢动脉 造影 

分 类 号：R587.1[医药卫生—内分泌]