A Comprehensive Ultrasound Examination of Vessels and Peripheral Nerves in Patients with Diabetic Foot Syndrome
The aim: an improvement of the algorithm of the examination the patients with diabetes mellitus (DM) with clinical manifestations of diabetic foot syndrome (DFS) using ultrasound diagnostics and to compare the obtained data with results of an electroneuromyography. Materials and methods. Examination of 33 patients from the department of purulent surgery with clinical manifestations of DFS. Complex ultrasound examination of peripheral nerves and arteries of the lower extremities, as well as electroneuromyography. Results. The signs of neuro- and angiopathy are received at a complex ultrasound examination of the arteries and nerves of the lower extremities simultaneously. Changes of a tibial nerve at ultrasonography were combined with deviations on ENMG in the form of decrease in carrying out impulses on nervous fiber in 29 (89.5%) cases. Duplex scanning has shown damage of arteries of the lower extremities and tibial nerves at 30 (63%) patients. Conclusion. Complex ultrasonic research is rather informative method of diagnostics in the identification of neuropathy at patients with DM, complicated by DFS. This inspection, unlike an electroneuromyography, can be carried out in various conditions and in any place (intensive care department), without causing discomfort and pain to the patient with SD complicated to SDS having damages of integuments. Changes of peripheral nerves are often combined with the expressed changes of peripheral arteries at such patients therefore the possibility of an assessment of the vasculars of an extremity according to ultrasound allows to expand the volume of the obtained data and directly influences tactics of treatment of the patients.