Xiao Rong,Yin Jun.Application of color Doppler ultrasonography in diabetic carotid sclerosis: report of 68 cases[J].J Amry Med Univ (J Third Mil Med Univ),2010,32(11):1232-1234.
Xiao Rong,Yin Jun.Application of color Doppler ultrasonography in diabetic carotid sclerosis: report of 68 cases[J].J Amry Med Univ (J Third Mil Med Univ),2010,32(11):1232-1234.DOI:
且观察组斑块发生率较对照组明显增高(82.35% vs 23.28%,P0.01);观察组年龄小于60岁者颈动脉粥样硬化的发病率明显低于年龄超过60岁者(18.75% vs 76.92%,P0.01);血流动力学改变在中度和重度狭窄时明显,血流速度明显增快,血流量明显减低,表现为频谱充填、峰值与舒张末期流速加快,PI、RI均增高,观察组明显高于对照组(P0.01)。 结论 应用彩色多普勒超声能准确检测颈动脉粥样硬化斑块的范围、性质和血管病变的程度,是评价颈动脉粥样硬化受损的手段之一。
Abstract
Objective To analyze the application of color Doppler ultrasonography in diagnosis of diabetic carotid sclerosis and to study the relation between diabetes and carotid sclerosis. Methods Color Doppler ultrasound findings in 68 hospitalized type 2 diabetes patients (as an observation group) and in 73 healthy individuals (as a control group) were compared and analyzed from Feb. 2007 to Feb. 2009. Results The tunica intima and media of carotid were significantly thicker in observation group than in control group (P0.01). The incidence rate of plaques was significantly higher in observation group than in control group(82.35% vs 23.28%
P0.01)while that of carotid sclerosis was obviously lower in patients (age60) than in those (age≥60) of observation group (18.75% vs 76.92%,P0.01).The change in haemodynamics was more obvious in patients with mild and severe stenosis
the blood flow was rapider
the volume of blood flow was lower which was manifested as frequent filling
increased flow rate in terminal diastolic phase
and increased PI and RI
in observation group than in control group(P0.01). Conclusion Color Doppler ultrasonography can accurately detect the plaques