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目的:探讨彩色多普勒超声(CDU)对2型糖尿病(DM)患者全身大中动脉病变的诊断价值。方法:选取2型DM 147例(观察组),另选取同期高血压病118例(对照组),依次检查其颈动脉、下肢动脉、腹腔动脉及上肢动脉,对比分析两组患者血管形态,血管壁内-中膜厚度(IMT),有无斑块,管腔狭窄程度及闭塞情况。结果:观察组全身动脉IMT明显增厚,管腔硬化斑块、狭窄、闭塞发生率显著高于对照组(P<0.05)。结论:超声检查能够准确检测DM患者动脉病变,为临床诊断提供可靠依据。
Objective: To investigate the diagnostic value of color Doppler ultrasonography (CDU) in patients with type 2 diabetes mellitus (DM). Methods: 147 cases of type 2 DM (observation group) and 118 cases of control group were enrolled in this study. The carotid artery, lower extremity artery, celiac artery and upper extremity artery were examined in turn. The vascular morphology, Intima - media thickness (IMT), with or without plaque, stenosis and occlusion. Results: The IMT of the systemic arteries in the observation group was significantly thicker, and the incidence of plaque, stenosis and occlusion in the lumen of the observation group was significantly higher than that of the control group (P <0.05). Conclusion: Ultrasonography can accurately detect arterial disease in DM patients and provide a reliable basis for clinical diagnosis.