糖尿病患者CT冠状动脉造影的诊断价值  

Diagnostic value of computed tomography angiography of coronary artery in patients with diabetes

作　　者：费军[1] 许樟荣[1] 刘瑛琪[1] 张朝利[1] 王晓非[1] 刘军华[1] 

机构地区：[1]解放军306医院放射科,北京市100101

出　　处：《中华老年多器官疾病杂志》2009年第5期417-419,424,共4页Chinese Journal of Multiple Organ Diseases in the Elderly

摘　　要：目的通过对比观察糖尿病与非糖尿病患者CT冠状动脉造影(CTCA)的特征,探讨CTCA在糖尿病合并冠心病患者中的诊断价值。方法对380例糖尿病患者及481例非糖尿病患者进行CTCA检查,其中111例患者(糖尿病41例,非糖尿病70例)行选择性冠状动脉造影检查,观察CTCA与选择性冠状动脉造影的相关性,并比较糖尿病与非糖尿病患者冠状动脉病变的特征。结果糖尿病与非糖尿病患者中CTCA检查与选择性冠状动脉造影均相关良好,糖尿病患者血管狭窄发病率较非糖尿病患者显著增高(45.8%vs24.5%;P<0.05),多支病变发病率明显增高(P<0.05)。结论糖尿病患者冠状动脉病变特征复杂,CTCA在糖尿病患者冠心病的筛查中具有重要意义。Objective By comparing the angiographic characteristics of coronary artery in patients with and without diabetes, the diagnostic value of computed tomograpby coronary angiography（CTCA） in diabetic patients with coronary artery diseases was investigated. Methods Totally 380 diabetes and 481 non-diabetic patients were examined by CTCA. Among them, 111 cases（41 diabetes and 70 non-diabetic patients） were also examined by invasive coronary angiography. The correlation of CTCA with invasive coronary angiography was evaluated. Results There was a good correlationship between the images of CTCA and invasive coronary angiography. There was a significant difference between diabetic and non-diabetic patients in the manifestation of coronary artery disease （45.8% vs 24.5% ,P〈0.05） and multi-vessel changes（P〈0.05）. Conclusion Diabetic patients have a high incidence of coronary artery disease. CTCA has a significant diagnostic value in these patients with coronary artery lesion.

关 键 词：体层摄影扫描仪 X线计算机 冠状血管造影术 糖尿病 

分 类 号：R541.4[医药卫生—心血管疾病] R587.1[医药卫生—内科学]