DF与ASO患者下肢动脉CT血管造影病变分析  

Analysis of CTA lesions of lower extremity arteries in patients with diabetic foot and non-diabetic atherosclerosis occlusion disorder

作　　者：王可敬[1] 郭钦钰 罗晓红[1] 牛小娟[1] 许瑞元[1] 杜军[1] Ke-jing Wang;Qin-yu Guo;Xiao-hong Luo;Xiao-Juan Niu;Rui-yuan Xu;Jun Du(Department of Endocrinology, General Hospital of Lanzhou Military Region, Lanzhou, Gansu 730050,China;School of Nursing, Lanzhou University, Lanzhou, Gansu 730020, China)

机构地区：[1]兰州军区总医院内分泌科,甘肃兰州730050 [2]兰州大学护理学院,甘肃兰州730020

出　　处：《中国现代医学杂志》2018年第8期86-89,共4页China Journal of Modern Medicine

摘　　要：目的探讨糖尿病足(DF)与非糖尿病性动脉硬化闭塞症(ASO)患者的下肢动脉CT血管造影(CTA)病变分布临床特点。方法选取2011年8月-2013年8月于兰州军区总医院的112例DF患者和89例ASO患者,分别作为DF组和ASO组,采用CTA进行检查,比较两组患者CTA病变情况。结果 DF组患肢209条,621处病变;ASO组患者189条,321处病变。两组患者单节段、双节段及多节段动脉累及率比较无差异(P>0.05);两组患者的单节段、双节段病变膝下动脉累及率比较有差异(P<0.05);两组患者患肢的髂、股及腘动脉累及率比较有差异(P<0.05);两组患者胫前、胫后、腓及足底动脉累及率及其病变膝下动脉累计率比较有差异(P<0.05)。结论 DF下肢动脉病变多分布于膝下的胫前、后动脉、腓动脉及足背动脉环等较小动脉,而ASO多分布于髂动脉、股动脉及腘动脉等下肢相对较大动脉。Objective To study the lesion distribution and clinical characteristics in lower limb arterial CT angiography(CTA)of the patients with diabetic foot(DF)and non-diabetic atherosclerosis occlusion disorder(ASO).Methods A total of112cases of DF patients(DF group)and89cases of ASO(ASO group)treated in the General Hospital of Lanzhou Military Region from August2011to August2013were selected.CTA was used to examine the lesions of the2groups of patients.Results In the DF group209limbs were involved with621lesions,while in the ASO group189limbs were involved with321lesions.There was no significant difference in the incidence of single,double and multiple segmental arterial involvement between the two groups(P>0.05).Theinvolvement rate of single and double segmental lesions had obvious difference between the two groups(P<0.05).The rate of limb iliac,femoral and popliteal artery involvement had obvious difference betweenthe two groups(P<0.05).The rates of anterior tibial artery,posterior tibial artery,fibular artery and plantar artery ring involvement and the inferior genu artery involvement rate in the patients with iliac,femoral and popliteal lesions were obviously different between the two groups(P<0.05).Conclusions In the patients with DF,the lesions of lower limb arteries are mainly located in small arteries such as anterior and posterior tibial arteries,fibular artery and plantar artery ring;while ASO chiefly involves relatively large arteries of the lower extremities,such as iliac artery,popliteal artery and femoral artery.

关 键 词：糖尿病足 非糖尿病性动脉硬化闭塞症 下肢动脉病变 临床特点 

分 类 号：R587[医药卫生—内分泌]