高频彩色多普勒超声在糖尿病患者颈动脉及下肢动脉血管病变诊断中的应用价值分析  

Value of High Frequency Color Doppler Ultrasonography in the Diagnosis of Carotid Artery and Lower Extremity Arterial Vascular Lesions in Diabetic Patients

作　　者：宋俊芳[1] 

机构地区：[1]江苏省连云港市东方医院超声科,江苏连云港222042

出　　处：《中外医疗》2017年第32期186-187,190,共3页China & Foreign Medical Treatment

摘　　要：目的探讨高频彩色多普勒声诊断糖尿病颈动脉及下肢动脉血管病变的临床价值。方法方便选取2015年6月—2017年6月该院102例糖尿病颈动脉及下肢动脉血管病变患者为例,分为实验组(高频彩色多普勒超声,51例)和对照组(普通二维超声,51例),对比观察两组颈动脉及下肢动脉血管病变检出情况。结果实验组诊断颈动脉血管增厚、斑块及下肢动脉血管增厚、狭窄、闭塞和斑块的准确率分别为100.00%、95.65%、98.04%、100.00%、100.00%、100.00%。实验组诊断颈动脉斑块类型准确率(100.00%)高于对照组(85.71%),比较差异有统计学意义(P<0.05)。结论高频彩色多普勒超声可观察血流动力学,能较为准确的诊断糖尿病患者颈动脉及下肢动脉血管病变类型及斑块性质,值得推广使用。Objective This paper tries to investigate the clinical value of high frequency color Doppler ultrasonography in the diagnosis of carotid artery and lower extremity arterial disease. Methods 102 cases of diabetic carotid and lower extremity arterial disease from June 2015 to June 2017 in this hospital were conveniently selected and divided into the experimental group（high frequency ultrasound, 51 cases） and the control group（two-dimensional ultrasound, 51 cases）, carotid and lower extremity arterial disease of two groups were compared. Results The accuracy rate of carotid artery thickening,plaque and lower extremity arterial thickening, stenosis, occlusion and plaque in the experimental group was 100.00%,95.65%, 98.04%, 100.00%, 100.00%, 100.00%. The accuracy of carotid plaque type was 100.00% in the experimental group, significantly higher than that in the control group of 85.71%, the difference was statistically significant（P 0.05）.Conclusion High frequency color Doppler ultrasonography can observe hemodynamics and diagnose diabetic arterial and lower extremity arterial disease, which is worth popularizing and application.

关 键 词：糖尿病 颈动脉血管病变 下肢动脉血管病变 彩色多普勒超生 

分 类 号：R445[医药卫生—影像医学与核医学]