彩色多普勒超声在糖尿病下肢动脉病变检查中的应用价值  

Application Value of Color Doppler Ultrasound in the Examination of Lower Limb Arterial Disease in Diabetes

作　　者：彭少芬 罗培生 邢开宇 江桂琼 冯柳艳 李清香 PENG Shao-fen;LUO Pei-sheng;XING Kai-yu;JIANG Gui-qiong;FENG Liu-yan;LI Qing-xiang(Qingxin District People's Hospital,Qingyuan City,Guangdong Province,Guangdong Qingyuan 511875)

机构地区：[1]广东省清远市清新区人民医院,广东清远511875

出　　处：《中国医疗器械信息》2024年第19期122-124,共3页China Medical Device Information

摘　　要：目的:旨在探讨多普勒超声在糖尿病下肢动脉病变检查中的有效性和应用价值。方法:纳入2023年5月~2024年5月来本院就诊的糖尿病患者下肢动脉病变患者50例作为观察组,纳入同期内科病房非糖尿病患者50例作为对照组。所有患者均进行彩色多普勒超声检查,对比两组患者下肢动脉病变发生情况、两组患者病变严重程度,并对比两组受检者下肢各动脉血管病变发生率、血管内径及血流速度。结果:观察组下肢血管斑块、下肢血管狭窄、下肢血管闭塞、血栓发生率均高于对照组。观察组下肢动脉硬化评分、下肢动脉斑块评分、下肢动脉狭窄评分均显著高于对照组(P<0.05或0.01)。与对照组相比,观察组股浅动脉、足背动脉、胫前动脉血管病变发生率更高(P<0.05);观察组股浅动脉、股深动脉、腘动脉、足背动脉、胫前动脉血管内径、流速度均小于对照组(P<0.05)。结论:彩色多普勒超声在糖尿病下肢动脉病变诊断中可较好地检出患者的疾病,反映患者的具体病情。Objective:To explore the effectiveness and application value of Doppler ultrasound in the examination of lower limb arterial disease in diabetes.Methods:50 patients with lower extremity arterial disease of diabetes patients who came to our hospital from May 2023 to May 2024 were included as the observation group,and 50 patients with non diabetes in the medical ward at the same time were included as the control group.All patients underwent color Doppler ultrasound examination to compare the incidence and severity of lower limb arterial lesions between the two groups of patients,as well as to compare the incidence,inner diameter,and blood flow velocity of various lower limb arterial vascular lesions between the two groups of subjects.Results:The incidence of lower limb vascular plaques,lower limb vascular stenosis,lower limb vascular occlusion,and thrombosis in the observation group was higher than that in the control group.The lower limb arterial sclerosis score,lower limb arterial plaque score,and lower limb arterial stenosis score of the observation group were significantly higher than those of the control group(P<0.05 or 0.01).Compared with the control group,the observation group had a higher incidence of vascular lesions in the superficial femoral artery,dorsalis pedis artery,and anterior tibial artery(P<0.05);The diameter and flow velocity of the superficial femoral artery,deep femoral artery,popliteal artery,dorsalis pedis artery,and anterior tibial artery in the observation group were significantly lower than those in the control group(P<0.05).Conclusion:The application of color Doppler ultrasound in the diagnosis of lower limb arterial disease of diabetes can better detect the disease of patients and reflect the specific condition of patients.

关 键 词：彩色多普勒超声 糖尿病下肢动脉病变 早期筛查 

分 类 号：R445.1[医药卫生—影像医学与核医学]