高频超声在老年糖尿病患者颈动脉粥样硬化斑块检测中的应用价值

High-frequency Ultrasound in Detection of Carotid Atherosclerosis Plaque in Patients with Senile Diabetes Application

目的研究高频超声在老年糖尿病(DM)患者颈动脉粥样硬化斑块(CAP)检测中的应用价值。方法选择2015年112月在该院接受高频超声检查的老年DM患者188例纳入实验组,选择同期健康体检正常人188例纳入正常组,两组均以高超声诊断仪检测CAP,比较检测结果。结果实验组斑块发生率(70.21%)高于对照组斑块发生率(17.55%)(P<0.05)。实验组左、右两侧颈总动脉、颈总动脉分叉、颈内动脉等颈动脉内膜中层厚度均较高于正常组(P<0.05)。CAP多见于右颈总动脉分叉位,多数斑块存在内部钙化,密度较大或密度较大伴声音衰减,表面光滑且回声较强。部分斑块低回声或混合回声。结论高频超声在老年DM患者CAP检测中具有较高应用价值。

Objectives Study of high frequency ultrasonography in elderly patients with diabetes mellitus （DM）in patients with carotid atherosclerosis plaque （CAP）value of detection; Methods January 2015 forecast in December, receiving high- frequency ultrasonic examination in hospital of elderly patients with DM 188 cases included in the experimental group, choose healthy normal 188 cases in the same period in normal groups, both groups with superb diagnostic test CAP, comparing test results. Results Incidence of plaques in the experimental group （70.21%） than in the control group incidence of plaques （17.55%）（P〈0.05） Experimental group left and right on both sides of common carotid artery and carotid artery bifurcation, internal carotid artery, carotid intima-media thickness is higher than normal （P〈0.05）.CAP in the right carotid artery bifurcation, most internal calcified plaque, density or high density with sound attenuation, the surface is smooth and strong echoes. Keyed parts plaque or mixed echo; Conclusion Detection of high frequency ultrasonography in elderly patients with DM CAP has a high value.