摘要
目的 分析彩色多普勒超声对糖尿病足(DF)介入术临床疗效评估价值.方法 选择本院 2022年 1 月至 2023 年 1 月就诊的 66 例DF患者为研究对象,均给予腔内介入治疗,治疗前后均进行彩色多普勒超声检查,统计治疗效果,比较治疗前后动脉血管病变分级、股总动脉、股浅动脉、动脉内径,比较显效组、有效组、无效组股总动脉、股浅动脉、动脉内径,绘制受试者工作曲线(ROC),计算曲线下面积(AUC),分析股总动脉、股浅动脉、动脉内径对腔内介入术临床疗效的预测效能.结果 66例患者经腔内介入治疗,总有效率是 95%.治疗前动脉血管病变分级以Ⅱ级、Ⅲ级为主,治疗后动脉血管病变分级以 0 级、Ⅰ级为主,治疗后动脉血管病变分级优于治疗前(P<0.05).治疗后股总动脉、股浅动脉、动脉内径均高于治疗前(P<0.05).显效组股总动脉、股浅动脉、动脉内径均高于有效组、无效组(P<0.05).股总动脉、股浅动脉、动脉内径联合检测预测腔内介入术临床疗效的AUC(95%CI)是 0.90(0.86,0.95),股总动脉、股浅动脉、动脉内径联合检测的灵敏度(94%)、特异度(90%)均高于单一检测(73%与 68%)、(78%与 71%)、(68%与 63%),P<0.05.结论 腔内介入治疗可有效改善DF患者动脉血流,提高治疗效果,通过彩色多普勒超声检查可对治疗效果做出准确评价,提高对临床疗效的预测效能,具有一定的参考价值.
Abstract
Objective To analyze the value of color Doppler ultrasound in evaluating the clinical efficacy of interventional treatment of diabetic foot(DF).Methods A total of 66 DF patients treated in our hospital from January 2022 to January 2023 were selected for the study,all of whom were given endovascular interventional treatment,and color Doppler ultrasonography was performed before and after treatment to make statistical statistics on the treatment effect,and arterial vascular lesion grade,common femoral artery,superficial femoral artery,and popliteal artery internal diameter were compared before and after treatment.The internal diameters of the common femoral artery,superficial femoral artery,and popliteal artery in the obvious,effective,and ineffective groups were compared,the receiver operating curve(ROC)was drawn,the area under the curve(AUC)was calculated,and the predictive efficacy of the internal diameters of common femoral artery,superficial femoral artery,and popliteal artery on the clinical efficacy of endovascular intervention was analyzed.Results The total effective rate of 66 patients was 95%.The classification of arterial vascular lesions before treatment was mainly GradeⅡand GradeⅢ,and the classification of arterial vascular lesions after treatment was mainly Grade 0 and Grade Ⅰ,and the classification of arterial vascular lesions after treatment was better than that before treatment(P<0.05).After treatment,the diameter of the common femoral artery,superficial femoral artery,and popliteal artery were higher than before treatment(P<0.05).The internal diameter of the common femoral artery,superficial femoral artery,and popliteal artery in the obvious group was higher than that in the effective group and ineffective group(P<0.05).The AUC(95%CI)of the common femoral artery,superficial femoral artery,and popliteal artery combined with internal diameter detection to predict the clinical effect of intracavitary intervention was 0.904(0.858,0.954).The sensitivity(94%)and specificity(90%)of combined detection of common femoral artery,superficial femoral artery and popliteal artery were higher than that of single detection(73%vs 68%),(78%vs 71%),(68%vs 63%)(P<0.05).Conclusion Intracavity interventional therapy can effectively improve the arterial blood flow in DF patients and improve the therapeutic effect.Color Doppler ultrasonography can accurately evaluate the therapeutic effect and improve the predictive efficacy of clinical efficacy,which has a certain reference value.
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维普
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