高频超声对2型糖尿病颈动脉病变的检测价值  

Value of high-frequency ultrasound detecting type 2 diabetes mellitus with carotid artery diseases

作　　者：樊胜华[1] 

机构地区：[1]浙江省绍兴市中医院B超室,浙江绍兴312000

出　　处：《中国现代医生》2012年第1期101-102,104,F0003,共4页China Modern Doctor

摘　　要：目的探讨应用高频超声对2型糖尿病颈动脉内-中膜厚度及斑块检测的诊断价值,从而为判断糖尿病动脉硬化的病情进展、治疗效果、了解预后及对并发症的预防提供进一步的指导依据。方法对临床确诊的528名住院及门诊2型糖尿病的患者应用高频彩超行双侧颈动脉检查,观察其颈动脉的内-中膜厚度、有无斑块形成及斑块性质、颈动脉狭窄情况,并应用统计学方法对不同部位及不同年龄、不同病程的上述各观察指标进行对比分析。结果528名糖尿病患者中,不同程度内-中膜增厚占76.7%,各种不同斑块占60.9%,内-中膜增厚无斑块占20.6%,内-中膜增厚同时合并斑块占56.1%,内-中膜未增厚却检测到斑块占4.9%,颈动脉不同程度狭窄占8.5%。左侧颈动脉检测到各型斑块194例,占总例数的60.2%,右侧为128例,占总例数的24.2%,左右侧对比无明显差异(P>0.05)。年龄大于55岁、病程长于10年的内-中膜增厚者分别为82.6%、87.2%,斑块检出率为65.1%、70.5%;年龄小于55岁、病程短于10年的内-中膜厚度增厚者分别为51.0%、47.1%,斑块检出率为42.9%、34.1%,两组比较有统计学显著性差异(P<0.01)。结论高频超声是检测颈动脉病变的有效手段之一,可给临床预防和治疗糖尿病提供可靠资料,值得推广和应用。Objective To discuss the value of high-frequency ultrasound probes utilized for detecting thickness of tunica intima and tunica media of bilateral carotid arteries in the patients with type 2 diabetes mellitus. Methods All of 528 cases inpatients and outpatients were diagnosed as type 2 diabetes mellitus whose bilateral carotid arteries were detected in order to observe the bilateral carotid arteries lesion,such as thickness of tunica intima and tunica media, formation of plaque,character of plaque and thickened tunica intima and tunica media. Results Among the 528 cases,76.7% patients had thickened tunica intima and tunica media which differed in degree. 60.9% patients had plaque in a certain extent. 56.1% patients had not only thickened tunica intima and tunica media but also plaque. While the percentage of patients having thickened tunica intima and tunica media without plaque,having plaque without thickened tunica intima and tunica media and having thickened tunica intima and tunica media was 20.6%,4.9% and 8.5% respectively. The left carotid artery to detect various types of plaque 194 cases, 60.2% of total number of cases, the right side of 128 cases,24.2% of the total number of cases,no significant difference between left and right side of the comparison（P〉0.05）. Older than 55 years of age,disease duration longer than 10 years intima-media thickness were respectively 82.6%, 87.2%; detection rate of plaques 65.1%, 70.5%. Younger than 55 years of age, duration of less than 10 years intima-media thickness thickening were 51.0%, 47.1%, plaque was detected in 42.9%, 34.1%, and the difference of the two groups was statistically significant （P〈0.01）. Conclusion High-frequency ultrasound is one of valid media that used to detect carotid artery diseases, and to provide reliable information to prevent and treat diabetes.

关 键 词：高频超声 2型糖尿病 颈动脉病变 

分 类 号：R587.2[医药卫生—内分泌] R445.1[医药卫生—内科学]