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目的在临床上对肢体淋巴水肿采用中医进行证型,并对患者采用超声进行检测,进而探讨两者间的关系.方法分析113例临床采用中医进行证型且采用超声进行检查的肢体巴水肿患者的病例,对中医证型间的指标进行对比,进而对中医证型和超声检测间的关系进行探讨.结果肢体淋巴水肿的不同证型超声图不同;中医证型的寒湿阻络型、湿热下注型以及痰凝血瘀型患者的影像中,患者皮肤、患者皮下组织以及患者的深筋膜增厚存在差异,差异有统计学意义(P〈0.05);相比于寒湿阻络型患者,湿热下注型以及痰凝血瘀型患者的影像中增厚较大,差异有统计学意义(P〈0.05).结论肢体淋巴水肿患者的超声图中影响的变化在一定程度上跟患者中医证型有密切关系,可作为中医证型时的辅助手段. “,”Objective To study the correlation between traditional Chinese medicine syndrome type and the ultrasound imaging changes in patients with limb lymphedema. Methods Syndrome typing was done and ultrasonography was performed in 113 patients with limblymphedema.The thickenings of derma,hypodermis and deepfascia were measured.The morphology of the hypodermis was classified into five degrees according to the ultrasonogram.The ultrasound indexes in the limblymphedema patients with different syndromes were compared. Results There were specific ultrasound image features in different Chinese medicine syndromes of limblymphedema.The thickenings of derma,hypodermis and deepfascia in the limb lymphedema patients with downward migration of damp heat orphlegm stagnation and blood stasis were more significant than those in the patients with collateral obstruction due to cold-dampness(P〈0.05).There was a significant difference in the hypo dermal morphology among the three syndrome types(P〈0.05).The most obvious structure disturbance was observed in the patients with phlegm stag nation and blood stasis syndrome. Conclusion Chinese medicine syndrome type of limb lymphedema is related to ultrasound image changes.The imaging data can be regarded a s new objectiv e indexes for Chinese medicine syndrome differentiation.