2型糖尿病患者下肢动脉粥样硬化的超声诊断价值

Ultrasonic diagnostic value of lower extremity atherosclerosis in patients with type 2 diabetes mellitus

目的讨论2型糖尿病(T2DM)患者下肢动脉粥样硬化的彩色多普勒超声的诊断价值。方法收集在我院治疗并确诊为T2DM患者200例,分为单纯T2DM组80例,血脂或血压异常T2DM组120例;同时收集无T2DM、无血脂血压异常的对照组100例,对于上述患者下肢动脉进行彩色多普勒超声检查,并对结果进行统计分析。结果 (1)T2DM患者动脉粥样硬化发病率明显高于对照组;(2)T2DM患者动脉狭窄发病率明显高于对照组;(3)异常T2DM患者发病率明显高于单纯T2DM;各组均存在显著的统计学差异(P<0.05)。结论 CDFI针对T2DM患者的下肢动脉粥样硬化及其狭窄程度均有较高的影像诊断价值;同时血脂或血压异常在T2DM患者下肢动脉病变的病程中起着重要的作用。

Objective To discuss the T2 DM patients with lower extremity atherosclerosis hardening of the diagnostic value of color Doppler ultrasound. Methods 200 cases in our hospital and diagnosed with T2 DM were divided into 80 cases of simple T2 DM group,abnormal T2 DM group containing lipids or abnormal blood pressure 120,and without T2 DM,no Lipid abnormal blood pressure control group 100 cases,for these patients using color Doppler ultrasound examination lower extremity arteries, and the test results were analyzed statistically. Results（ 1） The incidence of atherosclerosis in T2 DM patients was significantly higher than that in the control group;（ 2） The incidence of arterial stenosis in T2 DM was significantly higher than that of the control group;（ 3） The incidence of abnormal T2 DM was significantly higher than that of pure T2DM; All of groups statistically significant difference（ P〈0. 05）. Conclusions CDFI for T2 DM patients with lower extremity atherosclerotic stenosis have a higher diagnostic value of the image; and abnormal blood lipid or blood pressure plays an important role in T2 DM patients with peripheral artery disease.