胰腺脂肪浸润CT表现与冠状动脉硬化狭窄程度相关性分析  

Correlation between CT findings of pancreatic fatty infiltration and degree of coronary artery stenosis

作　　者：周毅 张元炜 李剑 代坤 ZHOU Yi;ZHANG Yuanwei;LI Jian;DAI Kun(Department of Radiology,Shaanxi Provincial Hospital of Chinese Medicine,Xi’an 710003,China)

机构地区：[1]陕西省中医医院放射科,陕西西安710003 [2]西安凤城医院放射科,陕西西安710016 [3]西安市阎良铁路医院检验科,陕西西安710089

出　　处：《陕西医学杂志》2024年第9期1202-1205,共4页Shaanxi Medical Journal

基　　金：陕西省卫生健康科研基金资助项目(2022B012)。

摘　　要：目的:探究胰腺脂肪浸润(PFI)CT表现与冠状动脉粥样硬化狭窄严重程度的相关性。方法:回顾性收集住院患者212例,行上腹部CT扫描后,将90例诊断为PFI的患者纳入试验组,另外122例非PFI患者纳入对照组。通过冠状动脉CT血管造影(CTA)诊断冠状动脉狭窄的严重程度,在腹部平扫CT图像上观察胰腺形态并测量CT值。比较两组患者一般资料及胰腺、脾、肝CT值,总体及不同性别患者冠脉狭窄程度,分析冠脉狭窄的危险因素及胰腺CT值与冠脉狭窄相关性。结果:试验组患者年龄和空腹血糖高于对照组,胰腺CT值低于对照组(均P<0.05)。试验组冠脉狭窄程度高于对照组(P<0.05)。试验组男性冠脉狭窄率高于女性(P<0.05)。试验组男性患者冠脉狭窄程度高于对照组。年龄是对照组的独立危险因素,胰腺CT值是试验组的独立危险因素(均P<0.05)。试验组中胰腺CT值与冠脉狭窄程度呈负相关(r=-0.538,P<0.05)。结论:PFI患者胰腺CT值与冠脉狭窄呈负相关,有助于预测冠状动脉狭窄的发生风险。Objective:To investigate the correlation between CT findings of pancreatic fatty infiltration(PFI)and the severity of coronary artery stenosis.Methods:A total of 212 hospitalized patients were retrospectively collected.After upper abdominal CT scan,90 patients diagnosed with PFI were included in the experimental group,and 122 patients without PFI were included in the control group.The severity of coronary artery stenosis was diagnosed by coronary artery CT angiography(CTA).The morphology of pancreas was observed and the CT value was measured on abdominal plain CT images.The general data and CT values of pancreas,spleen and liver were compared between the two groups,and the degree of coronary artery stenosis in the whole group and different genders were compared.The risk factors of coronary artery stenosis and the correlation between pancreatic CT value and coronary artery stenosis were analyzed.Results:The age and fasting blood glucose of the experimental group were higher than those of the control group,and the CT value of the pancreas was lower than that of the control group(all P<0.05).The degree of coronary artery stenosis in the experimental group was higher than that in the control group(P<0.05).The rate of coronary artery stenosis was higher in men than that in woemn in the experimental group(P<0.05).The degree of coronary artery stenosis was higher in male patients in the experimental group than in the control group.Age was an independent risk factor for the control group,and pancreatic CT value was an independent risk factor for the experimental group(both P<0.05).The CT value of pancreas was negatively correlated with the degree of coronary artery stenosis in the experimental group(r=-0.538,P<0.05).Conclusion:CT value of pancreas is negatively correlated with coronary artery stenosis in patients with PFI,which can help to predict the risk of coronary artery stenosis.

关 键 词：胰腺脂肪浸润 冠状动脉粥样硬化 计算机断层扫描 独立危险因素 相关性 

分 类 号：R589.2[医药卫生—内分泌]