糖尿病新世界2024,Vol.27Issue(1) :179-181,189.DOI:10.16658/j.cnki.1672-4062.2024.01.179

彩色多普勒超声对糖尿病足患者下肢动脉病变的应用价值分析

Application Value of Color Doppler Ultrasonography to Lower Extremity Arterial Disease in Diabetic Foot Patients

刘瑞锋
糖尿病新世界2024,Vol.27Issue(1) :179-181,189.DOI:10.16658/j.cnki.1672-4062.2024.01.179

彩色多普勒超声对糖尿病足患者下肢动脉病变的应用价值分析

Application Value of Color Doppler Ultrasonography to Lower Extremity Arterial Disease in Diabetic Foot Patients

刘瑞锋1
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作者信息

  • 1. 临沂老年医院超声科,山东临沂 276000
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摘要

目的 对糖尿病足患者下肢动脉病变诊断中行彩色多普勒超声的应用价值进行分析.方法 选取2022年4月—2023年4月临沂老年医院收治的90例糖尿病足患者为研究对象,按照糖尿病足分级标准分为坏疽组(n=42)、非坏疽组(n=48),均提供彩色多普勒超声诊断,对彩色多普勒超声的应用价值进行评价.结果 坏疽组的左侧和右侧下肢动脉病变内径(股动脉、股浅动脉、股深动脉、胫后动脉、腘动脉、足背动脉)均小于非坏疽组,差异有统计学意义(P均<0.05).坏疽组的股动脉血流参数(舒张期末血流速度、收缩期最大峰值血流速度、搏动指数、阻力指数)与腘动脉血流参数(舒张期末血流速度、收缩期最大峰值血流速度、搏动指数、阻力指数)显著小于非坏疽组,差异有统计学意义(P均<0.05).结论 彩色多普勒在糖尿病足的临床诊断中具有较高的临床应用价值,可以为临床诊治提供参考.

Abstract

Objective To analyze the application value of neutral color Doppler ultrasonography in diagnosis of lower extremity arterial disease in diabetic foot patients.Methods A total of 90 patients with diabetic foot admitted to Linyi Geriatric Hospital from April 2022 to April 2023 were selected as the research objects.According to the classification criteria of diabetic foot,they were divided into gangrene group(n=42)and non-gangrene group(n=48).Color Doppler ultrasound was provided for diagnosis,and the application value of color Doppler ultrasound was evaluated.Results The diameters of left and right lower extremity arteries(femoral artery,superficial femoral artery,deep femoral artery,posterior tibial artery,popliteal artery,dorsalis pedis artery)in the gangrene group were smaller than those in the non-gangrene group,and the differences were statistically significant(all P<0.05).The femoral artery blood flow param-eters(end-diastolic blood flow velocity,peak systolic blood flow velocity,pulsatility index,and resistance index)and popliteal artery blood flow parameters(end-diastolic blood flow velocity,peak systolic blood flow velocity,pulsatility index,and resistance index)in the gangrene group were significantly lower than those in the non-gangrene group(all P<0.05).Conclusion Color Doppler ultrasonography has high clinical application value in the clinical diagnosis of dia-betic foot,which can provide reference for clinical diagnosis and treatment,and is worth to be used and popularized.

关键词

彩色多普勒超声/糖尿病足/下肢动脉病变/诊断

Key words

Color Doppler ultrasonography/Diabetic foot/Lower limb artery disease/Diagnosis

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出版年

2024
糖尿病新世界
中国病理生理学会

糖尿病新世界

影响因子:0.461
ISSN:1672-4062
参考文献量12
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