王晓慧,张宇虹,苏本利.高频超声检测2型糖尿病周围神经病变患者足部肌肉萎缩[J].中国医学影像技术,2013,29(2):276~279
高频超声检测2型糖尿病周围神经病变患者足部肌肉萎缩
Detecting foot muscles atrophy in patients of type 2 diabetes mellitus with diabetic peripheral neuropathy by using high-frequency ultrasonography
投稿时间:2012-07-23  修订日期:2012-12-20
DOI:
中文关键词:  超声检查  糖尿病,2型    肌萎缩
英文关键词:Ultrasonography  Diabetes mellitus, type 2  Foot  Muscle atrophy
基金项目:
作者单位E-mail
王晓慧 大连医科大学附属第二医院超声科,辽宁 大连 116027  
张宇虹 大连医科大学附属第二医院超声科,辽宁 大连 116027 zhangyh_66@yahoo.com.cn 
苏本利 大连医科大学附属第二医院内分泌科,辽宁 大连 116027  
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中文摘要:
      目的 探讨高频超声技术对2型糖尿病(T2DM)及合并周围神经病变(DPN)患者足部肌肉萎缩的诊断价值。方法 收集106例T2DM患者,分为两组:A组56例,为T2DM伴DPN患者,B组50例,为T2DM不伴DPN患者;另选同期50名健康志愿者作为对照(C组)。应用高频超声观察受试者非优势足趾短伸肌(EDB)和第一、二跖趾间肌群(MIL),测量EDB横径、厚度和横截面积以及MIL厚度。结果 A组EDB横径、厚度和横截面积及MIL厚度均显著小于B组和C组(P均<0.01);B组EDB横径和横截面积及MIL厚度显著小于C组(P均<0.01)。结论 高频超声技术能够客观评价T2DM及合并DPN患者足部肌肉萎缩。
英文摘要:
      Objective To explore the value of high-frequency ultrasonography in detecting foot muscles atrophy in patients of type 2 diabetes (T2DM) with or without diabetic peripheral neuropathy (DPN). Methods One hundred and six T2DM patients were collected and divided into group A (T2DM with DPN, n=56) and B (T2DM without DPN, n=50), and 50 healthy subjects were enrolled as control (group C). The non-dominant foot were examined with high-frequency ultrasonography. The transverse diameter, thickness and cross-sectional area of the extensor digitorum brevis (EDB) muscle and thickness of muscles between the first and second metatarsal bone (MIL) were measured. Results The transverse diameter, thickness and cross-sectional area of EDB and thickness of MIL in group A were significantly smaller than those in group B and C (all P<0.01). The transverse diameter and cross-sectional area of EDB and thickness of MIL in group B were significantly smaller than those in group C (all P<0.01). Conclusion The foot muscles atrophy of T2DM patients with or without DPN can be detected with high-frequency ultrasonography objectively.
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