腹部CT平扫在评估慢性肾脏病患者腹主动脉钙化中的应用价值  

The application value of CT in evaluation of abdominal aortic calcification in patients with chronic kidney disease

作　　者：黎广宇 梁宇霞 顾问 袁惠婕 张明[1] 麻少辉[1] LI Guangyu;LIANG Yuxia;GU Wen;YUAN Huijie;ZHANG Ming;MA Shaohui(Department of Imaging,the First Affiliated Hospital of Xi’an Jiaotong University,Xi’an 710061,China)

机构地区：[1]西安交通大学第一附属医院影像科,陕西西安710061

出　　处：《实用放射学杂志》2023年第12期1953-1956,共4页Journal of Practical Radiology

摘　　要：目的探讨腹部CT平扫在评估慢性肾脏病(CKD)患者腹主动脉钙化(AAC)中的应用价值。方法回顾性分析132例经临床确诊为CKD 3~5期患者的CT腹部平扫资料及实验室检查资料,利用定量积分方法计算AAC积分,分析AAC发生的危险因素。结果相关性分析结果显示,ACC积分与肌酐(Cr)、CO_(2)结合率呈正相关(P<0.05),与白蛋白(ALB)呈负相关。logistic回归分析显示,Cr是AAC发生的危险因素,ALB是保护性因素。结论基于腹部CT平扫图像评估,Cr、CO_(2)结合率和ALB水平与患者AAC有相关性。基于CT的定量分析法在AAC评估中具有较好的应用价值。Objective To explore the utility of CT for the evaluation of abdominal aortic calcification(AAC)in chronic kidney disease(CKD).Methods Laboratory examination indexes and abdominal plain CT imaging of 132 CKD stage 3-5 patients were analyzed retrospectively.The ACC score was evaluated according to quantitative method,the risk factors related to AAC were analyzed.Results In correlation analyses,AAC score was positively correlated with creatinine(Cr)level,CO_(2)combining power(P<0.05),and negatively corrected with albumin(ALB).Logistic regression analysis showed that Cr level were risk factors for AAC,and ALB were protective factors.Conclusion Based on abdominal plain CT images,Cr level,CO_(2)combining power and ALB level are related to AAC.Quantitative method based on CT has a high application value in evaluating AAC.

关 键 词：腹主动脉钙化 计算机体层成像 慢性肾脏病 

分 类 号：R543.5[医药卫生—心血管疾病] R814.42[医药卫生—内科学] R692[医药卫生—临床医学]