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目的:探讨2型糖尿病患者下肢动脉血管病变的危险因素,观察糖尿病外周血管病变的形态学特征,寻找早期诊断方法。方法:应用多普勒超声检查2005～2007年在山东医学高等专科学校附属医院住院的106例确诊为2型糖尿病的患者和40例同期住院无糖尿病的患者下肢血管形态、血管壁内-中膜厚度(IMT)、有无斑块、管腔狭窄或闭塞及血流动力学改变,并进行比较。结果:糖尿病患者下肢血管管腔的硬化斑块、狭窄、闭塞的发生率明显高于对照组。结论:彩色多普勒超声成像对糖尿病患者下肢血管的早期诊断、预防及治疗有重要的临床指导意义。
Objective: To explore the risk factors of lower extremity arterial disease in type 2 diabetic patients and to observe the morphological characteristics of diabetic peripheral vascular disease and find out the early diagnosis methods. Methods: Doppler echocardiography was used to examine the blood vessel morphology, vascular intima-media (IMT) of 106 patients diagnosed as type 2 diabetes and 40 patients without diabetes mellitus hospitalized from 2005 to 2007 in Shandong Medical College Affiliated Hospital. Thickness (IMT), presence of plaque, stenosis or occlusion and hemodynamic changes were compared and compared. Results: The incidence of vascular plaque, stenosis and occlusion in the lower extremities of diabetic patients was significantly higher than that of the control group. Conclusion: Color Doppler ultrasound imaging in diabetic patients with lower extremity vascular early diagnosis, prevention and treatment of important clinical significance.