2型糖尿病坐骨神经病变的超声显像观察及评估  

Ultrasonography observation and evaluation of sciatic neuropathy in type 2 diabetes mellitus

作　　者：钟跃[1] 邱伟[1] 张灌生[1] ZHONG Yue;QIU Wei;ZHANG Guansheng(Department of Ultrasound,the First People＇s Hospital of Neijiang City,Sichuan Province,Neijing 641000,China)

机构地区：[1]四川省内江市第一人民医院超声科,四川内江641000

出　　处：《中国医药导报》2018年第27期166-168,180,共4页China Medical Herald

基　　金：四川省内江市软科学计划项目(内市科知计函[2016]103号)

摘　　要：目的探讨2型糖尿病坐骨神经病变的超声显像特征。方法选取2017年2月～2018年2月在四川省内江市第一人民医院治疗的糖尿病伴坐骨神经病变患者70例(A组),糖尿病无坐骨神经病变患者70例(B组),同时选取健康者70名作为对照(C组)。采用高频超声观察各组坐骨神经的特征。结果 A组神经被膜增厚粗糙比例明显高于B组和C组(P<0.05);三组神经束膜增厚粗糙、神经内部回声减低比例比较,差异无统计学意义(P>0.05);A组坐骨神经前后径(D1)、横径(D2)和横切面积(CSA)明显高于B组和C组(P<0.05);B组和C组坐骨神经D1、D2和CSA比较,差异无统计学意义(P>0.05);A组男性患者D1、D2和CSA明显高于女性患者(P<0.05)。结论高频超声可清晰显示坐骨神经参数,可为2型糖尿病坐骨神经病变诊断及治疗提供客观依据。Objective To investigate ultrasonography characteristics of type 2 diabetes mellitus with sciatic neuropathy.Methods From February 2017 to February 2018, in the First People＇s Hospital of Neijiang City, 70 cases of diabetic patients with sciatic neuropathy（group A）, 70 cases of diabetic patients without sciatic neuropathy（group B） were selected, and 70 healthy persons were selected as control（group C） at the same time. The characteristics of sciatic nerve in each group were observed by high frequency ultrasound. Results The proportion of nerve capsule thickening and rough in group A was significantly higher than those in group B and group C（P〈0.05）; the proportion of thickening and rough of the perineal membrane, the reduction of the echo of the inner were compared among three groups, and the differences were not statistically significant（P〈0.05）. The anteroposterior diameter（D1）, transverse diameter（D2） and cross sectional area（CSA） of sciatic nerve in the group A were significantly higher than those in the group B and group C（P〈0.05）; the D1, D2 and CSA of sciatic nerve in group B and group C were compared, the differences were not statistically significant（P〈0.05）. In group A, the D1, D2 and CSA of male patients were significantly higher than those of female patients（P〈0.05）. Conclusion High frequency ultrasound can clearly display the parameters of sciatic nerve, and it can provide objective evidence for the diagnosis and treatment of type 2 diabetic sciatic neuropathy.

关 键 词：高频超声 2型糖尿病 坐骨神经病变 超声表现 

分 类 号：R445.1[医药卫生—影像医学与核医学]