高频超声检测2型糖尿病患者下肢动脉病变的诊断价值

发布时间：2018-07-01 13:17

本文选题：超声检查 + 2型糖尿病　；参考：《大连医科大学》2014年硕士论文

【摘要】：目的：评价高频超声对2型糖尿病（T2DM）患者下肢动脉病变的诊断价值。方法：选取T2DM患者125例（糖尿病组），另选健康志愿者96例作为对照（对照组），利用高频超声比较分析两组下肢动脉内-中膜厚度（IMT）、有无斑块、斑块类型、管腔狭窄或闭塞及血流动力学改变情况。结果：糖尿病组下肢动脉IMT增厚、粥样硬化斑块、管腔狭窄及闭塞的发生率明显高于对照组，两组比较差异均有统计学意义（P均0.05）。糖尿病组下肢动脉粥样硬化呈多发、多节段分布，以股动脉处斑块发生率最高；管腔狭窄和闭塞以乆动脉远侧动脉发生率高，其中以胫前动脉受累最为明显。股动脉和乆动脉以软斑和混合斑为主，而胫前、胫后及足背动脉以硬斑为主，差异均有统计学意义（P均0.05）。结论：高频超声是检测T2DM患者下肢动脉病变简便且有效的影像学方法，对T2DM患者下肢动脉病变的早期诊断、预防和治疗有重要的临床指导意义。
[Abstract]:Objective: to evaluate the diagnostic value of high-frequency ultrasound in patients with type 2 diabetes mellitus (type 2 diabetes mellitus). Methods: 125 patients with T2DM (diabetic group) and 96 healthy volunteers (control group) were selected as control group. IMT, plaques and types of plaques were compared and analyzed by high frequency ultrasound. Lumen stenosis or occlusion and hemodynamic changes. Results: the incidence of IMT thickening, atherosclerotic plaque, lumen stenosis and occlusion in the diabetic group was significantly higher than that in the control group (P 0.05). In the diabetic group, the atherosclerosis of lower extremities was multiple and multisegmental, with the highest incidence of plaque in femoral artery, and the incidence of stenosis and occlusion of vascular lumen was higher in the distal artery of the femoral artery than in the distal artery of the femoral artery, especially in the anterior tibial artery. Soft plaque and mixed plaque were dominant in femoral artery and person's artery, but hard spot was dominant in anterior tibial artery, posterior tibial artery and dorsum pedis artery, the difference was statistically significant (P 0.05). Conclusion: high frequency ultrasound is a simple and effective imaging method for detecting arterial lesions of lower extremity in patients with T2DM. It has important clinical significance for early diagnosis, prevention and treatment of arterial lesions of lower extremity in patients with T2DM.
【学位授予单位】：大连医科大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：R445.1;R587.1

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