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KMID : 0896720020060010080
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Journal of the Korean Society of Foot Surgery
2002 Volume.6 No. 1 p.80 ~ p.85
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Color Doppler Ultrasonogram for the Peripheral Vascular disease in Diabetes Patients
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Lee Kyung-Tai
Young Ki-Won
Choi Yun-Sun
Bae Sang-Won
Lee Seung-Hwan
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Abstract
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Purpose:This study is to assess the involvement of vessels in lower extremity in diabetics, using color Doppler ultrasonogram.
Materials and Methods:Arteries of both lower extremities were divided into 3 groups-large vessel(above-knee arteries), popliteal vessel, and small vessel(below-knee arteries)-, and evaluated using color Doppler ultrasonogram in 60 diabetics. In color Doppler ultrasonogram, the wave forms of all vessels were divided into 5 grades; grade Ⅰ was triphasic wafe form, grade Ⅱ was spectral broadening form, grade Ⅲ was monophasic wave form, grade Ⅳ was pulsus tardus et parvus form, grade Ⅴ was absence of wave. Grade Ⅲ, Ⅳ, Ⅴ were grouped into vessel obstruction. We reviewed the correlationships among the degree of the peripheral vascular involvement, duration of dibetes, existence of bilaterality, types of dibetes.
Results:Bilateral involvement was high in both lower extremity. Luminal stenosis, vascular calcification and vessel obstruction were high incidence in the patients over ten years of diabetic duration. Prevalence of vascular calcification and vessel obstruction were high in the small vessel of ankle level. But, insulin injection was not related to the incidence of vascular abnormality.
Conclusion:Color Doppler ultrasonogram seems to be useful for evaluation of peripheral vascular status, decision making for necessity of additional test, periodic follow-up tool in diabetes patients.
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KEYWORD
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DM vasculopathy, Color Doppler ultrasonogram
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