多层螺旋CT血管成像在糖尿病合并颈动脉粥样硬化性狭窄患者中的应用分析  

Applied Analysis of Multi-slice Spiral CT Coronary Angiography in Diabetes Mellitus Patients with Carotid Atherosclerotic Stenosis

作　　者：邓海 Deng Hai(Medical Imaging Department,Huiji District People's Hospital,Zhengzhou 450000)

机构地区：[1]郑州市惠济区人民医院医学影像科,郑州450000

出　　处：《数理医药学杂志》2021年第8期1119-1121,共3页Journal of Mathematical Medicine

摘　　要：目的:观察糖尿病合并颈动脉粥样硬化性狭窄患者及颈动脉粥样硬化性狭窄患者分别行多层螺旋CT血管成像(MSCTA)检查的结果及应用价值。方法:选择2019年1月~2020年6月期间某院收治的40例糖尿病合并颈动脉粥样硬化性狭窄患者作为观察组,再选40例颈动脉粥样硬化性狭窄(血糖水平正常)患者作为对照组,两组患者均开展多层螺旋CT血管成像检查,观察两组患者的颈动脉狭窄情况、斑块性质等。结果:观察组检出颈动脉粥样硬化斑块86处,对照组检出83处,两组的钙化斑块、纤维斑块、软斑块检出差异均无统计学意义(P>0.05);观察组轻度狭窄47.50%、中度狭窄25.00%、重度狭窄27.50%,对照组分别为50.00%、37.50%、12.50%,观察组重度狭窄率明显高于对照组(P<0.05);观察组轻度狭窄、中度狭窄、重度狭窄的斑块体积与对照组比较差异无统计学意义(P>0.05),但狭窄程度增加、斑块体积也随之增大。结论:多层螺旋CT血管成像能够清晰显示糖尿病合并动脉粥样硬化性狭窄患者的颈动脉狭窄程度、斑块性质等,可观察到动脉粥样硬化的早期改变,准确预测病情发展,具有重要的研究价值。Objective:To study the applied value of multi-slice spiral CT coronary angiography(MSCTA)in diabetes mellitus patients with carotid atherosclerotic stenosis or carotid atherosclerotic stenosis patients.Methods:40 diabetes mellitus patients with carotid atherosclerotic stenosis checked from January 2019 to June 2020 in a hospital were selected as observation group.40 carotid atherosclerotic stenosis patients with normal blood glucose levels were selected as control group.MSCTA was performed,and carotid artery stenosis conditions and plaque characteristics were observed in the two groups.Results:86 carotid atherosclerotic plaques were occurred in the observation group,and 83 plaques in the control group.The detection rate of calcified plaques,fibrous plaques and soft plaques between the two groups was not significantly different(P>0.05).The mild,moderate and severe stenosis rates in the observation group were 47.50%,25.00%and 27.50%,related rates in the control group were 50.00%,37.50%and 12.50%.The severe stenosis rate in the observation group was significantly higher than that of control group(P<0.05).The mild,moderate,and severe stenosis plaque areas between the two groups were not significantly different(P>0.05).With the higher stenosis degree,the plaque area was gradually increased.Conclusion:MSCTA can clearly display the carotid artery stenosis degree and plaque characteristics so as to observe the early carotid atherosclerotic changes and make the accurate disease prediction for diabetes mellitus patients with carotid atherosclerotic stenosis,with important research value.

关 键 词：糖尿病合并颈动脉粥样硬化狭窄 多层螺旋CT 影像学诊断 

分 类 号：R445.2[医药卫生—影像医学与核医学]