2型糖尿病并缺血性脑血管疾病患者脑动脉狭窄的影像学研究 |
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引用本文: | 张守信,张雅萍,赵智凝,肖文. 2型糖尿病并缺血性脑血管疾病患者脑动脉狭窄的影像学研究[J]. 西北国防医学杂志, 2012, 33(4): 438-440 |
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作者姓名: | 张守信 张雅萍 赵智凝 肖文 |
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作者单位: | 1. 解放军451医院,陕西西安,710054 2. 解放军第三医院 |
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摘 要: | 目的:利用全脑数字减影血管造影(DSA)观察2型糖尿病(病程≤5年)并缺血性脑血管疾病患者脑动脉狭窄的特点,为糖尿病并缺血性脑血管疾病的二级预防提供科学依据。方法:258例缺血性脑血管疾病患者接受计算机断层血管造影(CTA)检查,根据WHO1999年糖尿病诊断标准,分为糖尿病组(DM组)和非糖尿病组(NDM组),观察两组动脉狭窄发生率、动脉狭窄病变分布及动脉狭窄程度等内容。结果:DM组动脉狭窄发生率为76.71%,而NDM组动脉狭窄发生率为58.82%,差异显著。两组动脉病变均以多支狭窄为主,DM组多支动脉狭窄率占79.25%,而NDM组占49.00%,差异显著。两组动脉狭窄程度差异不显著。结论:糖尿病患者更易发生脑动脉狭窄,且狭窄范围更广泛、多发。病程5年之内的糖尿病并缺血性脑血管疾病动脉狭窄程度以中度狭窄为主。
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关 键 词: | 糖尿病 缺血性脑血管疾病 数字减影血管造影 脑动脉狭窄 |
Imaging characteristics of cerebral arteries stenosis in type 2 diabetes mellitus patients with ischemic cerebrovascular disease |
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Affiliation: | ZHANG Shou - xin, ZHANG Ya - ping, ZHAO Zhi - ning, et al. (The 451 Hospital of PLA, Xi' an 710054, China) |
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Abstract: | Objective:To compare the characteristics of cerebral vessels stenosis in type 2 diabetes mellitus patients with ischemie cerehrovascular diseases (disease course ≤ 5 years) by computed tomographic angiography (CTA) or digital subtraction angiography (DSA). Methods: According to the criteria set by WHO in 1999, 258 ischemic cerebrovascular disease patients diagnosed by CTA on cerebral veins were divided into two groups: diabetes mellitus (DM) group and non - diabetes mellitus (NDM) group. The characteristics of cerebral vessels lesions were compared between the two groups. Results: The rates of cerebrovascular stenosis in DM group and NDM group were 76.71% and 58.82% respectively (P 〈 0.01 ). The incidence rates of multiple arteries stenosis in DM group and NDM group were 79.25% and 49.00% respectively (P 〈 0.01 ). The difference of arteriostenosis degree was not observed between the two groups. Conclusion: The ischemic cerebrovaseular disease patients might be susceptible to arterial stenosis and more extensively involved arteries can be found in these patients with type 2 diabetes mellitus. Moderate arterial stenosis is common in DM patients with ischemic cerebrovascular disease. |
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Keywords: | Diabetes mellitus Ischemic cerebrovascular diseases Digital subtraction angiography Cerebral artery stenosis |
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