2型糖尿病并发急性脑梗死患者的DSA颈动脉颅外段狭窄分析  

Analysis of extracranial carotid arteries stenosis by DSA in Type 2 diabetes patients with acute cerebral infarction

作　　者：赵桂森[1] 霍彬[2] 李斌[1] 冯慧贤[2] 张计旺[2] 

机构地区：[1]天津市大港油田总医院神经内科,天津300280 [2]天津市大港油田总医院影像中心,天津300280

出　　处：《中风与神经疾病杂志》2011年第7期586-588,共3页Journal of Apoplexy and Nervous Diseases

摘　　要：目的通过数字减影血管造影(digital substraetion angiography,DSA)方法评价2型糖尿病并发急性脑梗死患者颅外段颈动脉狭窄的临床特点。方法选择急性脑梗死120例,其中2型糖尿病合并急性脑梗死患者64例(DM组),非糖尿病急性脑梗死患者92例(NDM组),均行DSA检查,根据NASCET法对DSA结果测量,评价2型糖尿病并发急性脑梗死患者颅外段颈动脉狭窄的临床特点。结果 (1)糖尿病组的血管狭窄发生处明显多于非糖尿病组,且均以颈内动脉狭窄最多见,两组比较有统计学意义(P<0.01);两组患者不同血管部位(颈内动脉、颈总动脉、颈总动脉分叉)血管狭窄发生率有统计学意义(P<0.05);(2)糖尿病脑梗死组血管狭窄发生率明显高于非糖尿病组,两组比较差异有统计学意义(P<0.01);(3)两组患者血管狭窄程度比较,糖尿病组血管狭窄程度明显高于对照组,有统计学意义(P<0.05)。结论两组患者均以颈内动脉血管狭窄较常见,同时显示,2型糖尿病合并脑梗死患者颅外血管狭窄发生率与血管狭窄程度均明显高于非糖尿病组。Objective Through the examination of DSA,to evalue the clinical feature of extracranial caiotid arteries stenosis in type 2 diabetes patients with acute cerebral infarction.Methods Totally 120 patients with acute cerebral infarction were enrolled,including 64 in group DM who were type 2 diabetes patients complicated by acute cerebral infarction and 92 in group NDM who were acute cerebral infarction with no type 2 diabetes.All the patients were examined by DSA.To evalue the clinical features of extracranial caiotid arteries stenosis in type 2 diabetes patients with acute cerebral infarction,according to NASCET criteria measurement on DSA.Results The sites of vascular stenosis were significantly more in diabetic group than those in non-diabetic group.The stenosis was the most common in internal carotid artery,and there was statistical significance in two groups（P〈0.01）.The incidence rates of stenosis in two groups with different vascular sites（internal carotid artery,common carotid artery and common carotid bifurcation）were statistically significant（P〈0.05）.The incidence rates of cerebral vascular stenosis in type 2 diabetes patients were significantly higher than those in non-diabetic group.There were significant differences between the two groups（P〈0.05）.The prevanlence rates of serious stenotic lesions were also higher than those in Group NDM（P〈0.05）.Conclusions It is more common to carotid artery stenosis in two groups,and the incidence rate and the degree of extracranial vessel＇s stenosis in group DM were significantly higher.

关 键 词：急性脑梗死 颅外段颈动脉狭窄 数字减影血管造影 

分 类 号：R743.3[医药卫生—神经病学与精神病学]