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目的通过彩色多普勒超声对糖尿病患者颈动脉病变的检测,了解糖尿病血管病变情况。方法对235例糖尿病患者颈动脉进行彩色多普勒超声检测,测量颈动脉内-中膜厚度,观察有无斑块形成及颈动脉狭窄情况。结果 235例中颈动脉阳性病变发现率为88.51%(208/235),其中颈动脉内-中膜增厚69例,占阳性发现率的33.17%,颈动脉内-中膜增厚并斑块形成139例,占阳性发现率的66.83%,颈动脉狭窄32例。结论彩色多普勒超声检测是评估颈动脉病变的有效手段之一。动态观察糖尿病对动脉侵害的进展情况,可给临床预防和治疗血管病变提供可靠资料。
Objective To detect the pathological changes of carotid artery in diabetic patients by color Doppler ultrasonography. Methods The color Doppler echocardiography was performed on 235 carotid arteries of diabetic patients. The thickness of carotid intima - media was measured and the plaque formation and carotid stenosis were observed. Results The positive rate of carotid artery positive in 235 cases was 88.51% (208/235). The carotid intima-media thickening in 69 cases accounted for 33.17% of the positive cases. The carotid intima-media thickening and plaque 139 cases were formed, accounting for 66.83% of the positive detection rate and 32 cases of carotid artery stenosis. Conclusion Color Doppler ultrasound is one of the effective methods to evaluate carotid artery disease. The dynamic observation of the progress of diabetes on the arterial invasion can provide reliable information for clinical prevention and treatment of vascular lesions.