| 16层螺旋CT血管造影对评估糖尿病足病患者下肢血管病变的应用 |
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| 引用本文： | 卢山,白人驹.16层螺旋CT血管造影对评估糖尿病足病患者下肢血管病变的应用[J].实用医学影像杂志,2010,11(1):38-40. |
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| 作者姓名： | 卢山 白人驹 |
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| 作者单位： | 1. 天津医科大学代谢病医院放射科,天津,300070
2. 天津医科大学总医院放射科 |
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| 摘 要： | 目的利用16层螺旋CTCTA评估不同级别糖尿病足（DF）下肢动脉病变特点，为DF的诊断、治疗及预后评估提供新的影像学方法。方法对42例DF患者行下肢动脉CTA检查，0～2级DF归为轻度组；3～4级DF归为重度组，另外选取同龄糖尿病（DM）患者20例及无糖尿病者（NDM）18例作为对照组。结果重度DF组下肢动脉管腔截面积低于轻度组，存在统计学差异，管壁钙化、斑块及侧支循环均较轻度组明显，并与DF的级别存在相关性，其中斑块的相关性最强。DF组患侧下肢动脉狭窄程度与对侧比较无统计学差异。DF组、DM组及NDM组下肢动脉管腔截面积比较，存在统计学差异。结论16层螺旋CTCTA检查，为评估DF下肢动脉病变提供了一种安全、无创、准确的检查方法，具有重要临床价值，应作为治疗前的常规检查。
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| 关 键 词： | 糖尿病足 下支动脉 16层螺旋CT 血管成像 |
Application of MSCTA for evaluating lower extremity angiopathy in diabetic foot patients |
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| Lu Shan,Bai Renju.Application of MSCTA for evaluating lower extremity angiopathy in diabetic foot patients[J].Journal of Practical Medical Imaging,2010,11(1):38-40. |
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| Authors: | Lu Shan Bai Renju |
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| Institution: | Lu Shan,Bai Renju.Department of Radiology,Metabolic Disease Hospital of Tianjin Medical University,Tianjin 300070,China |
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| Abstract: | Objective To determine the applied value of 16-slice spiral computed tomography angiography(MSCTA) for evaluating the features of lower extremity angiopathy in diabetic foot patients(DFPs) and to provide a new imaging method for the diagnosis,treatment and prognostic assessment of this disease.Methods Forty-two DFPs underwent MSCTA of bilateral lower extremity.All DFPs were divided into mild disease group(stage 0-2) and serious disease group(stage 3-4) according to the severity of DF,simultaneously,age-matc... |
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| Keywords: | Diabetic foot Lower extremity artery 16-slice spiral CT Angiography |
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