糖尿病性脑梗塞CT与血糖水平相关性探讨

目的　着重探讨糖尿病性脑梗塞的CT表现特点与血糖水平的相关性。方法　对 41例糖尿病合并脑梗塞的CT表现特点及其和血糠水平的关系进行了回顾性分析。所有病例均符合WHO糖尿病诊断标准。结果　病变部位以基底节、脑干及丘脑区为主 (3 8例 ,92 .7% )。病灶呈多发性 3 0例 (73 .2 % ) ,病灶数目和血糖水平呈正相关。腔隙性脑梗塞 3 8例 (92 .7% ) ,大片状脑梗塞 3例 (7.3 % ) ,合并脑白质脱髓鞘改变 2 4例 (5 8.5 % )。结论　糖尿病性脑梗塞以多发性腔梗为主 ,和血糖水平关系密切

The Study of Relationship Between the CT Features and Blood Glucose Level in Cerebral Infarction of Diabetes Mellitus

Objective To study the CT features of cerebral infarction and the relation to blood glucose level in diabetes mellitus.Methods The CT features and relation to the level of blood glucose were retrosepectively analyzed in 41 cases of cerebral infarction diabetes mellitus.The diagnosis of diabetes mellitus was based on the WHO criteria in all cases.Results The focus of infarction located at the area of base ganglion,brain stem and thalamencephalon in 38 cases(92.7%).Multiple focus was found in 30 cases(73.2%)and there was positive correlation between focus number and the level of blood glucose.Lacuna cerebral infarction was observed in 38 cases(92.7%) and large patchy cerebral infarction in 3 cases.Brain white matter demyelination was complicated in 24 caese(58.5%).Conclusion Cerebral infarction of diabetes mellitus mainly manifestes as multiple lacuna cerebral infarction and has close relation to the level of blood glucose.