糖尿病与非糖尿病患者下肢动脉病变的CTA对比研究  

Comparison of CTA characteristics in lower extremity atherosclerosis between diabetic and non-diabetic parients

作　　者：洪诗钗[1] 李昭辉[1] 黄小进[1] 卢伟锋[1] 徐益鸣[1] 杨东海[1] 刘青[1] 

机构地区：[1]厦门大学附属中山医院血管外科,厦门361004

出　　处：《福建医药杂志》2014年第2期98-100,共3页Fujian Medical Journal

摘　　要：目的通过CT血管造影(CTA,CT angiography)比较,研究糖尿病性和非糖尿病性下肢动脉硬化病变的差异,并分析其临床意义。方法对非糖尿病组64例,糖尿病组57例的CTA结果进行分析。根据不同病变狭窄程度,分为0、1、2、3级,然后整理数据,进行统计学分析。结果非糖尿病组在股总动脉、股浅动脉、股深动脉、腘动脉病变程度较糖尿病组严重,两者差异有统计学意义(P<0.05)。而在其他下肢动脉病变中,两者差异无统计学意义(P>0.05)。对动脉硬化病变分析,左右侧比较,差异均无统计学意义(P>0.05)。结论下肢非糖尿病性动脉硬化和糖尿病性动脉硬化均为双侧对称性发病,在股总动脉、股浅动脉、股深动脉及腘动脉中,非糖尿病患者较糖尿病患者病变重。Objective To compare the different CTA characteristics in lower limbs between diabetic and non-diabetic ath- erosclerosis with analysis of the clinical significance. Methods CTA results of 64 patients with non-diabetic atherosclerosis and 57 patients with diabetic atherosclerosis were analyzed. Depending on the degree of stenosis, it was divided into 0, 1, 2, 3- class, and then the data were orgawized for statistical analysis and comparison. Results Non-diabetic patients with atherosclerosis in the femoral artery, superficial femoral artery, deep femoral artery, popliteal artery disease was more severe than patients with diabetes, there were significant differences between the two groups. In other lower limb arterial lesions, there was no sig- nificant difference between the two groups. In diabetic and non-diabetic atherosclerosis lesions analyzed, the left and right side showed no significant difference. Conclusion In the femoral artery, superficial femoral artery, deep femoral artery and popliteal artery, nondiabetic patients with atherosclerosis was more severe than diabetes. Both nondiabetic and diabetic atherosclerosis are symmetrical disease processes in bilateral lower extremity.

关 键 词：糖尿病 动脉硬化 CT血管造影 

分 类 号：R587.1[医药卫生—内分泌] R543.5[医药卫生—内科学]