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时间:2020-05-20
《高频超声评价2型糖尿病患者下肢周围神经病变临床观察-论文.pdf》由会员上传分享,免费在线阅读,更多相关内容在行业资料-天天文库。
1、344中国现代神经疾病杂志2014年4月第14卷第4期ChinJContempNeurolNeurosurg,April2014,Vo1.14,No.4··临床研究·高频超声评价2型糖尿病患者下肢周围神经病变临床观察贺佳贝张宇虹苏本利【摘要】目的探讨高频超声用于评价2型糖尿病合并周围神经病变患者下肢股神经和隐神经异常改变的临床价值。方法共81例2型糖尿病患者分为无周围神经病变组(4O例)和合并周围神经病变组(41例),通过彩色多普勒超声观察股神经和隐神经内部回声及连续性,测量并比较神经宽径、厚径和横截面积。结果正常对照组受试者股神经和隐神经横切面扫描呈略高回声,内部呈细小筛网格状,纵切
2、面扫描内部呈条状低回声和平行线样排列的条状略高回声;无周围神经病变组患者内部回声略减低,细小筛网格状结构模糊,纵切面条状低回声结构欠清晰;合并周围神经病变组患者内部回声明显减低,细小筛网格状结构显示不清,纵切面条状低回声结构模糊。与正常对照组相比,糖尿病组患者股神经宽径(均P=0.000)、厚径(P=0.023,0.036)和横截面积(均'P=0.000)增大;隐神经宽径(P=0.010,0.014)、厚径(均P:0.001)和横截面积(P=0.002,0.004)增大;合并周围神经病变组患者股神经和隐神经厚径(P:O.048,0.012)和横截面积(P=0.031,0.034)较无周
3、围神经病变组增大。结论高频超声可以清晰地显示2型糖尿病合并周围神经病变患者股神经和隐神经主干内部回声及各径线的异常改变,为临床诊断提供客观依据,具有重要临床意义。【关键词】糖尿病,2型;糖尿病神经病变;周围神经系统疾病;超声检查,多普勒,彩色Evaluationofperipheralneuropathyoflowerlimbsinpatientswithtype2diabetesmellitusbyhigh—frequencyultrasOnOgraphyHEJia.bei,ZHANGYu—hong,SUBen-liGrade2011,GraduateSchool,DalianMed
4、icalUniversity,Dalian116044,Liaoning,ChinaDepartmentofUltrasound,DepartmentofEndocrinology,theSecondAffiliatedHospitalofDalianMedicalUniversity,Dalian116027,Liaoning,ChinaCorrespondingauthor:ZHANGYu—hong(Email:zhangyh一66@163.com)【AbstractlObjectiveToobservetheabnormalitiesoffemoralandsaphenousne
5、rvesinpatientsoftype2diabetesmellitus(T2DM)withorwithoutdiabeticperipheryneuropathy(DPN)byhigh一~equeneyullrason0graphy.MethodsEighty—oneT2DMpatientswereenrolledanddividedinto2groups:groupB(T2DMwithoutDPN,N=40),groupC(T2DMwithDPN,N=41).F0ny—twohealthysubjectswereenrolledascontrolgroupfgroupA1.LOG
6、IQ—E9colorDopplerultrasoundinstrumentwasused.Betweeninguinalligmentandinguinalfold,thefemoralnervewasslightlyhyperechoicwithreticularstructurenearbythefemoralarteryontransversesection.Intheinnerthigh,thesaphenousnervewasslightlyhyperechoicwithreticularstructurealongwithadductorcanalontransverses
7、ection.Theinternalechoandsuccessionofthetwonervesin3groupswereobserved.Thewidth,thicknessandCROSS—sectionalareasofthetwonervesweremeasuredandcompared.ResultsIngroupA,theinternalechoofthetwonervesappearedasslightlyhyperechoic
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