二维高频超声及能量多普勒评价2型糖尿病患者肩袖结构异常改变

发布时间：2018-05-09 19:23

本文选题：糖尿病 + 型　；参考：《中国临床医学影像杂志》2017年05期

【摘要】：目的:探讨应用二维高频超声及能量多普勒技术评价2型糖尿病(T2DM)不同病程患者肩袖结构回声及血流改变的临床价值。方法:收集60例T2DM患者,分为2组:病程≤10年(B组)30例;病程10年(C组)30例。另选取30名健康志愿者为正常对照(A组)。分别应用二维高频超声及能量多普勒观察3组肩袖结构各肌腱及肱二头肌长头腱的回声及血流情况,测量冈上肌腱(SUP)、肱二头肌长头肌腱(BT)、肩胛下肌腱(SUB)、冈下肌腱(INF)的厚度。结果:正常各肌腱长轴均显示为以纤细低回声区所间隔的多个互相平行的细线样强回声的索条样结构;B组中SUP、C组中SUP、BT、SUB、INF与A组相比,出现内部回声减低、不均匀、边缘不规则等内部回声异常的比率均增加(P0.05);B组、C组各肌腱内发现钙化灶比率均大于A组(P0.05);C组中BT出现腱旁组织异常的比率大于A组(P0.05);B、C组各肌腱厚度与A组相比均增加(P0.05);右侧C组中SUP、BT与B组相比厚度差异均有统计学意义(P0.05);C组中BT双侧对比厚度差异有统计学意义(P0.05);3组各肌腱内1级血流信号比率最高,各级血流信号差异无统计学意义。结论:二维高频超声以及能量多普勒可以客观评价T2DM不同病程患者肩袖结构的回声改变、厚度以及内部血流情况,具有重要的临床价值。
[Abstract]:Objective: to evaluate the clinical value of two-dimensional high-frequency ultrasound and power Doppler technique in evaluating the echo and blood flow of rotator cuff structure in patients with type 2 diabetes mellitus (T2DM). Methods: sixty patients with T2DM were divided into two groups: group B (30 cases) and group C (30 cases). Another 30 healthy volunteers were selected as normal control group A. The echo and blood flow of the rotator cuff structure tendons and the long head tendons of biceps brachii were observed by two dimensional high frequency ultrasound and energy Doppler, respectively. The thickness of supragonditic tendon (SUP), biceps brachii longus tendon (BTT), subscapular tendon (Subb), and subscapular tendon (INFN) were measured. Results: the long axis of normal tendons showed that the internal echo was decreased and uneven in group B, compared with that in group A, in group B, there were many parallel thin lines with strong echoes in each of the long axes of tendon, which were separated by thin hypoechoic regions. In group B, the internal echo was decreased and inhomogeneity was found in group B, and in group B, there was a decrease in internal echo in group B and in group B, in comparison with group A, the internal echo was decreased. The ratio of abnormal internal echo in group B is higher than that in group A (P 0.05). The ratio of abnormal tissue around the tendon in group A is higher than that in group A (P 0.05). The thickness of tendons in group B is higher than that in group A. There were significant differences in the thickness of SUPnBT between right group C and group B. There was significant difference in the thickness of BT bilateral contrast between group C and group B. The ratio of blood flow signal of grade 1 in each tendon of group P0.05 was the highest in group C, and the ratio of blood flow signal in group B was higher than that in group C (P 0.05). There was no significant difference in blood flow signals at all levels. Conclusion: Two-dimensional high-frequency ultrasound and power Doppler can objectively evaluate the echo changes, thickness and internal blood flow of rotator cuff in patients with different course of T2DM, and have important clinical value.
【作者单位】：大连医科大学附属第二医院;
【分类号】：R445.1;R587.2

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