摘要
目的探讨2型糖尿病周围神经病变(diabetic peripheral neuropathy,DPN)患者腓肠神经与跟腱病变的超声测值变化及相关性。方法运用高频超声观察分析42例2型糖尿病伴DPN患者、42例T2DM(Type 2 Diabetes Mellitus,T2DM)不伴有DPN患者及42例非糖尿病健康成人腓肠神经和跟腱内部结构及周边组织情况,测量腓肠神经横截面积和跟腱近止端厚度。比较各组间腓肠神经横截面积和跟腱近止端厚度测值,并对两者进行Pearson相关性分析及散点图呈现。结果DPN组异常声像图显示率明显高于NDPN组,DPN组检出有异常声像图例数为35例,占83.33%,无DPN组检出有异常声像图改变为14例,占33.33%。DPN组的腓肠神经横截面积、跟腱厚度值较NDPN组和非糖尿病组增大,且差异有统计学意义(P<0.05)。DPN患者腓肠神经截面积与跟腱厚度呈正相关(r=0.747,P<0.05)。结论糖尿病周围神经病变患者腓肠神经及跟腱病变发生率高,高频超声有助于发现DPN患者腓肠神经及跟腱病变,二者在协同评估DPN病变中有重要的价值。
Objective To investigate the changes and correlation of ultrasound measurements of sural nerve and Achilles tendon in patients with type 2 diabetic peripheral neuropathy.Methods High-frequency ultrasound was used to analyze the internal structure and surrounding tissues of the sural nerve and Achilles tendon in 42 patients with type 2 diabetes mellitus with DPN,42 patients with T2DM without DPN and 42 non-diabetic healthy adults.The cross-sectional area of the sural nerve and the thickness of the Achilles tendon near the end.The cross-sectional area of the sural nerve and the thickness of the achilles tendon near the end were compared between the groups,and Pearson correlation analysis and scatter statistics was performed.Results The abnormal sonogram of the DPN group was significantly higher than that of the NDPN group.The number of abnormal sonograms detected in the DPN group was 36 cases,accounting for 83.33%.The abnormal sonograms detected in the non-DPN group were 14 cases,accounting for 33.33%.The cross-sectional area of the sural nerve and the thickness of the Achilles tendon in the DPN group were larger than those in the NDPN group and the non-diabetic group,and the difference was statistically significant(P<0.05).The cross-sectional area of the sural nerve was positively correlated with the thickness of the Achilles tendon in patients with DPN(r=0.747,P<0.05).Conclusion The incidence of sural nerve and Achilles tendon lesions is high in patients with diabetic peripheral neuropathy.High-frequency ultrasound can help to detect the sural nerve and Achilles tendon lesions in patients with DPN.They are of great value in the collaborative assessment of DPN lesions.
作者
霍中元
王欣欣
赵红艳
宋欢欢
HUO Zhongyuan;WANG Xinxin;ZHAO Hongyan(Department of Ultrasound,Lianyungang Affiliated Hospital,Nanjing University of Traditional Chinese Medicine,Lianyungang 222004,China)
出处
《中风与神经疾病杂志》
CAS
2020年第4期341-344,共4页
Journal of Apoplexy and Nervous Diseases
关键词
糖尿病周围神经病变
超声检查
腓肠神经
跟腱
Diabetic peripheral neuropathy
Ultrasonography
Sural nerve
Achilles tendon
作者简介
通讯作者:霍中元,E-mail:huozhongyuan0303@126.com。
