腓肠神经超声检查在糖尿病周围神经病变患者中的应用价值

发布时间：2018-06-19 06:24

本文选题：糖尿病 + 周围神经病变　；参考：《中国老年学杂志》2017年17期

【摘要】：目的探讨腓肠神经超声检查在糖尿病周围神经病变(DPN)患者中的应用价值。方法 82例DPN患者(DPN组)、82例2型糖尿病(T2DM)非DPN患者(非DPN组)及82例健康志愿者(对照组)进行腓肠神经超声学检查,观察腓肠神经形态学改变,并采用肌电图诊断仪测量腓肠神经传导速度。结果糖尿病(DM)患者腓肠神经超声下多表现神经外膜模糊、筛网状结构不清、神经束回声减低、与邻近组织分界不清,DPN组上述超声表现比例均高于非DPN组(P0.05)。DM患者超声下腓肠神经横径、厚径及截面积均高于对照组,腓肠神经传导速度低于对照组;DPN组超声下腓肠神经横径、厚径及截面积均高于非DPN组,腓肠神经传导速度低于非DPN组(P0.05)。结论高频超声能清晰显示DDPN患者腓肠神经形态学改变,表现为腓肠神经增粗、肿胀。DM患者在发展成DPN之前周围神经已经出现了异常。
[Abstract]:Objective to evaluate the value of sural nerve ultrasonography in patients with diabetic peripheral neuropathy (DPN). Methods 82 cases of DPN patients with DPN and 82 cases of non-DPN patients (non-DPN group) and 82 healthy volunteers (control group) were examined by sural nerve ultrasound, and the morphological changes of sural nerve were observed. The conduction velocity of sural nerve was measured by electromyography. Results the sural nerve in patients with DM (DM) showed that the epineurium was blurred, the ethmoid structure was not clear, and the echo of nerve bundles was decreased. In DPN group, the transverse diameter, thickness and area of sural nerve in DPN group were higher than those in non-DPN group, and the conduction velocity of sural nerve in DPN group was lower than that in DPN group, and the transverse diameter of sural nerve in DPN group was lower than that in DPN group, and the diameter of sural nerve in DPN group was lower than that in DPN group. Thick diameter and cross section area were higher than that of non DPN group, and the conduction velocity of sural nerve was lower than that of non DPN group (P 0.05). Conclusion the morphological changes of sural nerve in DDPN patients can be clearly demonstrated by high frequency ultrasound. The sural nerve is thickened and swollen. The peripheral nerve has been abnormal before developing into DPN.
【作者单位】：新疆医科大学第二附属医院超声科;新疆医科大学第二附属医院心电图室;
【分类号】：R445.1;R587.2

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