CT腹部脂肪定量与颈动脉粥样硬化的相关性研究  

Study on the Relationship between CT Abdominal Fat Quantification and Carotid Atherosclerosis

作　　者：焦敏 徐凯 JIAO Min;XU Kai(Department of Medical Imaging,The Affiliated Hospital of Xuzhou Medical University,Xuzhou,Jiangsu Province 221006,P.R.China)

机构地区：[1]徐州医科大学附属医院影像科,221006

出　　处：《临床放射学杂志》2022年第4期736-740,共5页Journal of Clinical Radiology

摘　　要：目的 探讨CT腹部脂肪定量与颈动脉粥样硬化(CAS)及其管腔狭窄程度的关系。方法 回顾性分析2020年1月至2020年12月在徐州医科大学附属医院影像科行颈部CTA的患者资料,对其颈总动脉分叉部(BIF)(分叉部包含分叉处上下2 cm范围)进行观察分析,采用患者腹部CT图像选择脐周层面测量其内脏脂肪(VAT)面积、皮下脂肪(SAT)面积,并搜集患者体重指数(BMI)、血总胆固醇(TC)、低密度脂蛋白胆固醇(LDL-C)、高密度脂蛋白胆固醇(HDL-C)、甘油三酯(TG)等一般临床资料。分析腹部脂肪面积及动脉粥样硬化危险因素与CAS及其管腔狭窄程度的相关性。结果 CAS组患者LDL-C、VAT/SAT、VAT、年龄均高于非CAS组患者,且随着颈动脉管腔狭窄程度增加,LDL-C、VAT、VAT/SAT值升高,差异有统计学意义(P<0.05)。结论 VAT面积与CAS及其管腔狭窄程度关系密切,随着VAT面积增加,CAS狭窄程度进展。Objective To investigate the relationship between Computed tomography detection of the quantity of abdominal fat and carotid atherosclerosis(CAS).Methods By using the method of retrospective analysis,the inpatients who underwent cervical CT angiography in the affiliated Hospital of Xuzhou Medical University from January 2020 to December 2020 were observed and analyzed.The bifurcation of the common carotid artery(BIF,which includes the upper and lower 2 cm of the bifurcation) was observed and analyzed.The visceral fat area(Visceral Adipose Tissue,VAT) and subcutaneous fat area(Subcutaneous Adipose Tissue,SAT) were measured by abdominal CT images.The general clinical data such as body mass index(BMI),blood total cholesterol(TC),low density lipoprotein cholesterol(LDL-C),high density lipoprotein(HDL-C) and triglyceride(TG) were collected.The correlation between the area of abdominal fat,the risk factors of atherosclerosis and the degree of carotid atherosclerosis and stenosis were analyzed.Results The age,LDL-C,VAT and VAT/SAT in the carotid atherosclerosis group were significantly higher than those in the non-carotid atherosclerosis group,and the values of LDL-C,VAT and VAT/SAT increased with the increase of the degree of carotid stenosis,and the difference was statistically significant(P<0.05).Conclusion Visceral fat area is closely related to carotid atherosclerosis and the degree of carotid arterystenosis.With the increase of visceral fat area,the degree of carotid atherosclerosis is aggravated.

关 键 词：腹部脂肪 内脏脂肪 皮下脂肪 颈动脉粥样硬化 相关性 

分 类 号：R543.5[医药卫生—心血管疾病] R816.5[医药卫生—内科学]