分析2型糖尿病下肢动脉病变患者运用彩色多普勒超声的诊断价值

Analysis of the diagnostic value of color doppler ultrasound in patients with type 2 diabetic lower extremity arterial disease

目的分析2型糖尿病下肢动脉病变患者运用彩色多普勒超声的诊断价值。方法选取2018年4月—2019年4月收治的2型糖尿病患者80例,设为观察组;同期抽健康体检者80例,设为对照组。对比2组下肢动脉超声检查结果和不同血管的IMT厚度,统计2型糖尿病患者下肢动脉病变的分布情况。结果观察组内膜光滑比例低于对照组(P<0.05),观察组斑块比例和IMT厚度均高于对照组(P<0.05)。47例2型糖尿病患者存在下肢动脉斑块,主要分布在足背动脉、胫后动脉和胫前动脉。结论彩色多普勒超声对2型糖尿病下肢动脉病变有良好的诊断价值,可有效判断血管病变位置及严重程度,值得临床应用。

Objective To analyze the diagnostic value of color Doppler ultrasound in patients with type 2 diabetic lower extremity arterial disease. Methods 80 patients with type 2 diabetes who were treated from April 2018 to April 2019 were selected as the observation group,and then 80 healthy subjects were selected at the same time as the control group. The results of lower extremity arterial ultrasound examination and IMT thickness of different blood vessels were compared between the two groups,as well as the distribution of lower extremity arterial lesions in patients with type 2 diabetes. Results The intimal smoothness ratio in the observation group was lower than that in the control group(P<0.05);the plaque ratio and IMT thickness in the observation group were higher than those in the control group(P<0.05);47 patients with type 2 diabetes had lower extremity arterial plaques,In addition,plaques are mainly distributed in the dorsal foot artery,posterior tibial artery and anterior tibial artery. Conclusion Color Doppler ultrasound has good diagnostic value in the examination of arterial lesions of the lower extremities in type 2 diabetic patients. It can effectively determine the location and severity of vascular lesions and is worthy of application.