DR与CT对老年糖尿病足患者早期骨质与血管改变的临床价值研究  

Study on the Clinical Value of DR and CT on Early Bone and Vascular Changes in Elderly Patients with Diabetic Foot Disease

作　　者：温如泉 WEN Ruquan(Department of Medical Imaging,Dongying Hospital of Traditional Chinese Medicine,Dongying,Shandong Province,257055 China)

机构地区：[1]东营市中医院医学影像科,山东东营257055

出　　处：《糖尿病新世界》2023年第4期188-190,194,共4页Diabetes New World Magazine

摘　　要：目的探讨DR与CT对老年糖尿病足患者早期骨质与血管改变的临床价值。方法选取2021年1—12月东营市中医院收治的50例临床与实验室检查确诊的糖尿病足患者为研究对象。所有患者以X线DR平片与骨密度仪器进行检测,并进行螺旋CT检测。观察比较不同检测方式对糖尿病足及骨质改变、血管改变的诊断情况。结果CT检查的检出率为100.00%,DR检查的检出率为98.00%,差异无统计学意义(P>0.05)。DR检查大动脉和小动脉的血管钙化与狭窄符合率分别为55.81%、45.46%,低于CT检查,差异有统计学意义(P<0.05)。两种检查方式的骨端骨质破坏符合率对比,差异无统计学意义(P>0.05)。CT检查对骨质疏松、软组织肿胀、病理性骨折的符合率高于DR检查,差异有统计学意义(P<0.05)。结论应用DR与CT对糖尿病足进行诊断均具有较高的诊断价值,但在血管及骨质改变检出中CT的优势更为显著,参考价值更高。Objective To investigate the clinical value of DR and CT on early bone and vascular changes in elderly patients with diabetic foot disease.Methods From January to December 2021,50 patients with diabetes foot diagnosed by clinical and laboratory examinations were selected as the research objects.All patients were tested with Xray DR plain films and bone mineral density instruments,and spiral CT was performed.To observe and compare the diagnosis of diabetes foot,bone changes and vascular changes by different detection methods.Results The detection rate of CT examination was 100.00%,and the detection rate of DR examination was 98.00%,and the difference was not statistically significant(P>0.05).The coincidence rate of vascular calcification and stenosis in DR examination of large and small arteries was 55.81%and 45.46%,respectively,lower than that in CT examination,and the difference was statistically significant(P<0.05).There was no statistically significant difference in the coincidence rate of bone destruction between the two examination methods(P>0.05).The coincidence rate of osteoporosis,soft tissue swelling,and pathological fractures by CT examination was higher than that by DR examination,and the difference was statistically significant(P<0.05).Conclusion Both DR and CT have high diagnostic value in diagnosing diabetes foot,but CT has more significant advantages and higher reference value in detecting vascular and bone changes.

关 键 词：DR CT 老年 糖尿病性足病 骨质 血管 

分 类 号：R587.1[医药卫生—内分泌]