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目的探讨彩色多普勒超声对2型糖尿病(T2DM)患者下肢动脉病变的临床应用价值。方法T2DM65例与30例同期住院患者进行下肢血管彩色多普勒超声检查对照,同时对T2DM患者进行不同病程、有无并发症进行分析。结果T2DM组患者下肢动脉斑块检出率明显高于对照组(81.5%vs26.7%,P<0.05);并发高血压的T2DM患者较单纯糖尿病下肢动脉斑块发生率高(90.0%vs68.0%,P<0.05);病程>5年的T2DM患者下肢动脉斑块发生率高于病程≤5年者(92.7%vs62.5%,P<0.05)。结论彩色多普勒超声是T2DM患者下肢血管病变的有效检查手段,对下肢血管病变的早期诊断、预防及治疗具有重要的临床应用价值。
Objective To investigate the clinical value of color Doppler ultrasound in the diagnosis of lower extremity arterial disease in type 2 diabetes mellitus (T2DM). Methods Twenty-five T2DM patients and 30 hospitalized patients underwent T2-weighted color Doppler ultrasonography. At the same time, T2DM patients were treated with different course of disease and their complications were analyzed. Results The detection rate of lower extremity arterial plaque in T2DM group was significantly higher than that in control group (81.5% vs26.7%, P <0.05). The incidence of arterial plaque in T2DM patients with hypertension was higher than that in simple diabetes mellitus (90.0% vs68.6%). 0%, P <0.05). The incidence of lower extremity arterial plaque in patients with T2DM for more than 5 years was higher than that in patients ≤ 5 years (92.7% vs62.5%, P <0.05). Conclusion Color Doppler echocardiography is an effective means of detecting lower extremity vascular lesions in patients with T2DM. It has important clinical value in the early diagnosis, prevention and treatment of lower extremity vascular lesions.