| 2型糖尿病并发急性脑梗死患者的DSA颈动脉颅外段狭窄分析 |
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| 引用本文： | 赵桂森,霍彬,李斌,冯慧贤,张计旺.2型糖尿病并发急性脑梗死患者的DSA颈动脉颅外段狭窄分析[J].中风与神经疾病杂志,2011,28(7). |
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| 作者姓名： | 赵桂森 霍彬 李斌 冯慧贤 张计旺 |
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| 作者单位： | 1. 天津市大港油田总医院神经内科,天津,300280
2. 天津市大港油田总医院影像中心,天津,300280 |
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| 摘 要： | 目的通过数字减影血管造影(digital substraetion angiography,DSA)方法评价2型糖尿病并发急性脑梗死患者颅外段颈动脉狭窄的临床特点。方法选择急性脑梗死120例,其中2型糖尿病合并急性脑梗死患者64例(DM组),非糖尿病急性脑梗死患者92例(NDM组),均行DSA检查,根据NASCET法对DSA结果测量,评价2型糖尿病并发急性脑梗死患者颅外段颈动脉狭窄的临床特点。结果 (1)糖尿病组的血管狭窄发生处明显多于非糖尿病组,且均以颈内动脉狭窄最多见,两组比较有统计学意义(P<0.01);两组患者不同血管部位(颈内动脉、颈总动脉、颈总动脉分叉)血管狭窄发生率有统计学意义(P<0.05);(2)糖尿病脑梗死组血管狭窄发生率明显高于非糖尿病组,两组比较差异有统计学意义(P<0.01);(3)两组患者血管狭窄程度比较,糖尿病组血管狭窄程度明显高于对照组,有统计学意义(P<0.05)。结论两组患者均以颈内动脉血管狭窄较常见,同时显示,2型糖尿病合并脑梗死患者颅外血管狭窄发生率与血管狭窄程度均明显高于非糖尿病组。
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| 关 键 词： | 急性脑梗死 颅外段颈动脉狭窄 数字减影血管造影 |
Analysis of extracranial carotid arteries stenosis by DSA in Type 2 diabetes patients with acute cerebral infarction |
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| ZHAO Gui-sen,HUO Bin,LI Bin,et al..Analysis of extracranial carotid arteries stenosis by DSA in Type 2 diabetes patients with acute cerebral infarction[J].Journal of Apoplexy and Nervous Diseases,2011,28(7). |
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| Authors: | ZHAO Gui-sen HUO Bin LI Bin |
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| Institution: | ZHAO Gui-sen,HUO Bin,LI Bin,et al.(Department of Neurology,Tianjin Dagang Oil Field General Hospital,Tianjin 300280,China) |
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| Abstract: | Objective Through the examination of DSA,to evalue the clinical feature of extracranial caiotid arteries stenosis in type 2 diabetes patients with acute cerebral infarction.Methods Totally 120 patients with acute cerebral infarction were enrolled,including 64 in group DM who were type 2 diabetes patients complicated by acute cerebral infarction and 92 in group NDM who were acute cerebral infarction with no type 2 diabetes.All the patients were examined by DSA.To evalue the clinical features of extracranial ... |
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| Keywords: | Acute cerebral infarction Extracranial carotid artery stenosis Digital subtraction angiography(DSA) |
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