脑CTA分析不同分级脑白质病变患者颈动脉狭窄、斑块类型及血管重构的变化差异  

The changes of carotid artery stenosis, plaque types andvascular remodeling in patients with different gradesof leukoencephalopathy were analyzed by CTA

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作  者:冯亚玲 时玉春 宋振强 FENG Yaling;SHI Yuchun;SONG Zhenqiang(Medical Imaging Department of Kaifeng People's Hospital,Kaifeng 475000,China)

机构地区:[1]开封市人民医院医学影像科,河南开封475000

出  处:《黑龙江医药科学》2025年第4期69-72,共4页Heilongjiang Medicine and Pharmacy

基  金:开封市科技发展计划项目,编号:2303095。

摘  要:目的:探讨脑CTA分析不同分级脑白质病变患者颈动脉狭窄、斑块类型及血管重构的变化差异。方法:选取2020年3月至2023年11月在开封市人民医院治疗的脑白质病变患者192例,按照病情严重程度分为重度组、非重度组,各96例。收集患者的一般资料、颈动脉狭窄、斑块类型及血管重构指标。分析患者病情严重程度与上述指标的关系。结果:经过对比,两组患者的性别、年龄、饮酒史、吸烟史无明显差异(P>0.05),重度组患者的高血压史、糖尿病史、高血脂史明显高于非重度组(P<0.05);非重度组的颈动脉狭窄、斑块类型以及血管重构指标均明显优于重度组(P<0.05);颈动脉狭窄程度、斑块类型以及血管重构与脑白质病变患者病情严重程度有一定的相关性(P<0.05);颈动脉狭窄程度、斑块类型以及血管重构均是造成脑白质病变患者病情严重程度的危险因素(P<0.05);ROC诊断结果表明,颈动脉狭窄程度、斑块类型以及血管重构对脑白质病变患者病情严重程度有一定的诊断价值,AUC分别为0.744、0.764、0.834,将上述指标联合诊断AUC为0.886。结论:脑白质病变患者颈动脉狭窄、斑块类型及血管重构指标对病情严重程度具有较好的预测价值。Objective To study variations in brain analysis for different classified white substances,caro artery narrowing,plaque type,and blood vessel reconstruction.Methods:We selected 192 cases of patients in Kaifeng People's Hospital with lesions in white matter who were treated at our hospital in March 2021 to November 2023,which were divided into groups of heavy and light depending on the severity of their condition.Collect general information about the patient,the constriction of the carotid artery,the type of plaque,and the rate of vascular reconstruction.Analysis of the relationship between the severity of the patient and the previous indicators.Results:In contrast,there are no apparent differences in sex,age,alcohol history,smoking history(P>0.05),hypertension,diabetes and high fat history,much higher than in the smaller group of remarkable importance(P<0.05);Caro artery constriction,plaque type,and recombination of blood vessels in small groups are significantly better than in groups with severe features(P<0.05);The degree of contraction of the carotid artery,the type of cast and the reorganization of the blood vessels are related to the severity of the condition of the patient with white brain pathology(P<0.05);The contraction of the carotid artery,the type of blemish and the vascular reorganization are risk factors for the patient to cause white matter(P<0.05);The diagnosis of roc indicates that the grade of the carotid artery walls,plaque type,and vessel reorganization have some diagnostic cost for patients with severe white matter damage to the brain:0.744,0.764,and 0.834 respectively,indicating the combined diagnosis of auc as 0.886.Conclusion:Constriction of the caro artery,the type of cast,and the rate of vascular reconstruction in patients with white brain mass have the highest predicted value for the condition.

关 键 词:脑白质病变 颈动脉狭窄 血管重构 

分 类 号:R445.3[医药卫生—影像医学与核医学]

 

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