多模态超声评估2型糖尿病患者股神经改变的临床价值
Clinical value of multimodal ultrasound in the evaluation of femoral nerve changes in patients with type 2 diabetes mellitus
陈飞 1袁媛 2赵中千 2邢亮 1万文武 1滕志朋 1龙海波1
作者信息
- 1. 400037 重庆市中医院神经外科
- 2. 400037 重庆市中医院超声科
- 折叠
摘要
目的 探讨二维超声、彩色多普勒及剪切波弹性成像评估2型糖尿病(T2DM)患者股神经改变的临床应用价值.方法 选取于我院就诊的T2DM患者40例,其中单纯T2DM患者20例(T2DM组),T2DM合并股神经改变患者20例(合并组),另选同期健康体检者20例为正常对照组,比较各组临床资料及多模态超声检查结果的差异.分析剪切波速度(SWV)与左右径和横截面积的相关性;绘制受试者工作特征(ROC)曲线分析多模态超声评估T2DM患者股神经改变的诊断效能.结果 各组体质量指数、空腹葡萄糖、糖化血红蛋白、左右径、横截面积、有无筛网结构、SWV比较差异均有统计学意义(均P＜0.05).合并组左右径、横截面积、SWV与正常对照组和T2DM组比较差异均有统计学意义(均P＜0.05).相关性分析显示,股神经SWV与左右径呈正相关(r=0.328,P=0.011).ROC曲线分析显示,左右径、横截面积、SWV评估T2DM患者股神经改变的曲线下面积分别为0.796、0.744、0.837,三者联合应用的曲线下面积为0.899,高于各参数单独应用,差异均有统计学意义(均P＜0.05).结论 多模态超声在T2DM患者股神经改变评估中具有一定的临床应用价值.
Abstract
Objective To explore the clinical application value of two-dimensional ultrasound,color Doppler and shear wave elastography in the evaluation of femoral nerve changes in patients with type 2 diabetes mellitus(T2DM).Methods Forty patients with T2DM who visited our hospital were selected,including 20 patients with simple T2DM(T2DM group),and 20 patients with T2DM combined with femoral nerve changes(combined group).Another 20 healthy individuals who underwent physical examinations during the same period were selected as the normal control group.The differences in clinical data and multimodal ultrasound examination results were compared.The correlation between SWV and left-right diameter,cross-sectional area was analyzed.Receiver operating characteristic(ROC)curve was drawn to analyze the diagnostic efficacy of multimodal ultrasound in evaluating femoral nerve changes in patients with T2DM.Results There were statistically significant differences in body mass index,fasting glucose,glycosylated hemoglobin,left-right diameter,cross-sectional area,sieve structure,and SWV among the groups(all P＜0.05).There were statistically significant differences in left-right diameter,cross-sectional area,SWV between combined group and T2DM group,normal control group(all P＜0.05).Correlation analysis showed that SWV of femoral nerve was positively correlated with the left-right diameter(r=0.328,P=0.011).The area under the curve of the left-right diameter,cross-sectional area and SWV were 0.796,0.744 and 0.837,respectively.And the area under the curve of the combined application was 0.899,which was higher than that of each parameter(all P＜0.05).Conclusion Multimodal ultrasound has certain clinical application value in the evaluation of femoral nerve changes in patients with T2DM.
关键词
超声检查,多普勒,彩色/剪切波弹性成像/2型糖尿病/股神经Key words
Ultrasonography,Doppler,color/Shear wave elastography/Type 2 diabetes/Femoral nerve引用本文复制引用
基金项目
重庆市江北区科卫联合医学科研项目(JBKW2022XY001)
出版年
2024
NETL
NSTL
万方数据