| 超声弹性成像评估2型糖尿病患者胫神经病变的应用价值 |
| 投稿时间：2018-01-22 修订日期：2018-03-05 点此下载全文 |
| 引用本文：滕飞,周显礼,薛伟力,董雪迎,马饶.超声弹性成像评估2型糖尿病患者胫神经病变的应用价值[J].医学研究杂志,2018,47(11):163-167 |
| DOI：
10.11969/j.issn.1673-548X.2018.11.036 |
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| 中文摘要:目的 探讨超声弹性成像评估2型糖尿病患者胫神经病变的应用价值。方法 对2型糖尿病伴周围神经病变患者33例、不伴周围神经病变患者32例及29例健康志愿者胫神经应用常规高频超声测量前后径及横截面积（cross-sectional area，CSA），应用声触诊组织定量（virtual touch tissue quantification，VTQ）技术及声触诊组织成像和定量（virtual touch tissue imaging quantification，VTIQ）技术测量剪切波速度（sheer wave velocity，SWV），对比分析VTQ及VTIQ两种弹性成像技术对2型糖尿病患者胫神经病变的应用价值。结果 2型糖尿病伴周围神经病变者胫神经前后径、CSA、SWV值均大于不伴周围神经病变者，且大于健康志愿者（P<0.05）。VTIQ技术诊断2型糖尿病周围神经病变的敏感度及特异性高于VTQ技术（P<0.05）。结论 2型糖尿病患者出现周围神经病变之前，胫神经硬度已发生变化，VTQ及VTIQ技术均可较早发现这一变化。VTIQ技术对2型糖尿病患者胫神经病变诊断价值优于VTQ技术。 |
| 中文关键词:超声弹性成像 2型糖尿病 糖尿病周围神经病变 胫神经 |
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| Assessment of Tibial Neuropathy by Using Sonoelastography in Type 2 Diabetes Mellitus |
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| Abstract:Objective Sonoelastography in the evaluation of tibial neuropathy in patients with type 2 diabetes mellitus. Methods The anterior-posterior diameter and cross-sectional area (CSA)of the tibial nerve were measured by high-frequency ultrasonnd. The SWV of the tibial nerve was measured by virtual touch tissue quantification (VTQ) and virtual touch tissue imaging quantification (VTIQ) in thirty-three patients of type 2 diabetes mellitus with diabetic periphreal neuropathy,thirty-two patients of type 2 diabetes mellitus without diabetic periphreal neuropathy and twenty-nine healthy volunteers. We compared and analyzed the value of VTQ and VTIQ technique in the changes of tibial nerve hardness in type 2 diabetes mellitus. Results The anterior-posterior diameter,CSA,SWV of the tibial nerve in type 2 diabetes mellitus with DPN group were higher than the type 2 diabetes mellitus without DPN group,and higher than the healthy volunteers (P<0.05).The sensitivity and specificity of VTIQ technique were higher than VTQ technique in the diagnosis of tibial neuropathy in type 2 diabetes mellitus (P<0.05). Conclusion The hardness of the tibial nerve in type 2 diabetes mellitus has changed before the onset of DPN. Both VTQ and VTIQ technique can detect this change earlier. VTIQ is superior to VTQ technique in the diagnosis of tibial neuropathy in type 2 diabetes mellitus. |
| keywords:Sonoelastography Type 2 diabetes mellitus Diabetic periphreal neuropathy Tibial nerve |
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