肠系膜上动脉病变与冠心病相关性研究

目的:提高对冠心病患者并发肠缺血的认识。方法:对可疑冠心病心绞痛患者行冠状动脉和肠系膜上动脉造影,分析冠状动脉和肠系膜上动脉之间以及患者的胃肠症状与肠系膜上动脉影像变化的关系。结果:59例冠心病患者中17例肠系膜上动脉病变(28.8%),24例冠状动脉正常者中2例肠系膜上动脉病变(8.3%)(P<0.05)。冠状动脉多支血管病变27例(45.8%),合并肠系膜上动脉病变14例(23.7%);单支血管病变32例(54.2%),合并肠系膜上动脉病变3例(0.05%)(P<0.05)。34例有胃肠症状患者中13例肠系膜上动脉病变(38.2%);25例无胃肠道症状者中4例肠系膜上动脉有病变(16%)(P<0.05)。结论:冠状动脉与肠系膜上动脉病变之间有相关性。肠系膜上动脉损害一般在冠状动脉损害较严重时发生。冠心病患者的胃肠道症状与肠系膜上动脉血管的改变有相关性,应重视冠心病患者肠缺血的存在。

Study on the relationship of superior mesenteric artery pathological changes with coronary artery disease

Objective To make further cognition of coronary artery disease complicated with mesenteric ischemia. Methods Angiography was performed on the coronary artery and the superior mesenteric artery of shadiness coronary artery disease patients to analyze the relationship between the coronary artery and the superior mesenteric artery, the relationship between the gastroenteric clinical symptom and the superior mesenteric artery images. Results Among 59 cases of coronary artery diseases patients,lesions were found in 17(28. 8%). And lesions were in 2 cases of superion mesenteric artery among 24 cases of normal coronary artery(8. 3%)(P<0. 05). In 27 cases of multiple coronary artery branches lesions (45. 8%), 14 cases were complicated with superior mesenteric artery lesions (23. 7%). In 32 cases of single branch coronary artery lesions (54. 2%), 3 cases were complicated with superior mesenteric artery lesions (0. 05%) (P<0. 05). Among these 34 cases with the gastroenteric clinical symptom, lesions were found in 13 cases (38. 2%); Among the 25 cases without the gastroenteric clinical symptom, lesions were found in 4 cases (16%) (P<0. 05). Conclusion The superior mesenteric artery lesions are closely associated with the lesions in coronary artery. The damages of superior mesenteric artery commonly occur with severe coronary artery damage. The superior mesenteric artery lesions are closely associated with gastroenteric clinical symptom in coronary artery disease patients. Mesenteric ischemia should be attached importance in the patients with coronary artery disease.