颈总动脉分叉部的几何形态在缺血性脑血管疾病中的临床意义  

Clinical Significance of Carotid Bifurcation Geometry in Cerebral Ischemic Disease

作　　者：冯军屏[1] 黄松[1] 盛伟华[1] 陆祎[1] 宋黎涛[1] FENG Jun-ping;HUANG Song;SHENG Wei-hua;LU Yi;SONG Li-tao

机构地区：[1]上海中医药大学附属第七人民医院医学影像科

出　　处：《中国医学计算机成像杂志》2018年第4期329-334,共6页Chinese Computed Medical Imaging

摘　　要：目的:探讨成人颈动脉分叉部的几何形态与缺血性脑血管疾病的关系。方法:回顾性收集187例同时行颈动脉CT血管造影和头颅MRI检查患者的影像学及临床资料,采用多因素Logistic回归分析,分析可能的相关因素与缺血性脑血管疾病之间的关系。结果:高血压、糖尿病、冠心病、高同型半胱氨酸血症和吸烟史、饮酒史等因素与缺血性脑血管疾病无关(P>0.05)。高血脂、颈动脉分叉部角度与缺血性脑血管疾病有关(P<0.05)。正常人的颈动脉分叉部的几何形态与缺血性脑血管疾病患者明显不同(P<0.05)。缺血性脑血管疾病患者颈动脉分叉角及相邻血管内径均明显大于正常人群(P<0.05)。结论:脑缺血性疾病患者的颈动脉分叉角度更大,颈动脉分叉角度很有可能作为一个预测脑缺血性疾病的有用指标。Purpose： To investigate the relation between carotid bifurcation geometry and ischemic cerebrovascular diseases （ICVD） in adults. Methods： The imaging and clinical data of 187 cases who accepted the examination of carotid artery CT angiography and head MRI at the same time were collected. Logistic multiple factor regression was applied to analyze the relationships between the potential related factors and ischemic cerebrovascular diseases. Results： These factors of hypertension, diabetes, coronary heart disease, hyperhomocysteinemia, smoking history, and drinking alcohol hobby were irrelevant to ICVD （P 〉 0.05）. But the factors of hyperlipaemia and the carotid artery bifurcation angle were closely related to ICVD （P〈 0.05）. Normal carotid bifurcation geometries are obviously different from those of patients with cerebral ischemia. The carotid artery bifurcation angle and adjacent vascular internal diameter of the patients with cerebral ischemia were significantly greater than those of normal people （P 〈 0.05）. Conclusions： The carotid bifurcation angle in patients with cerebral ischemic is even larger. The carotid bifurcation angle is likely to be a useful predictor of cerebral ischemic diseases.

关 键 词：颈动脉分叉 几何形态 脑缺血性疾病 

分 类 号：R445.2[医药卫生—影像医学与核医学] R445.3[医药卫生—诊断学]