多层螺旋CT血管造影评估糖尿病患者胰腺供血动脉的应用价值

发布时间：2018-05-16 23:04

  本文选题：胰腺 + 动脉　； 参考：《临床放射学杂志》2017年12期

【摘要】：目的探讨多层螺旋CT血管造影(MSCTA)对糖尿病患者胰腺供血动脉的显示价值。方法回顾性研究103例糖尿病患者,均接受腹部64层螺旋CTA及腹部DSA检查,分别观察胰十二指肠动脉前弓、后弓、胰背动脉、胰大动脉的显示情况。应用配对χ~2检验或二项分布χ~2检验比较两种方法胰腺供血动脉的显示率;用配对秩和检验比较两种方法的胰腺供血动脉显示状况。结果 MSCTA与DSA对糖尿病患者胰十二指肠动脉前弓的显示率均为98.1%,对胰十二指肠动脉后弓显示率分别为96.1%、98.1%,两种方法对胰十二指肠动脉前弓、后弓的显示率无差异(P值分别为1.000、0.625,P0.05);两种方法对胰十二指肠动脉前弓第一组、后弓第一组显示率均无差异(P值分别为1.000、0.250,P0.05)。MSCTA和DSA对胰背动脉的显示率分别是64.1%、57.3%;对胰大动脉的显示率分别是77.7%、68.0%,两种方法对胰背动脉、胰大动脉显示率无差异(χ~2值分别为0.973、2.132,P值分别为0.324、0.144,P0.05);两种方法对胰背动脉第一组、胰大动脉第一组显示率无差异(χ~2值为0.148、1.361,P=0.700、0.243)。两种方法对胰十二指肠动脉前弓及前弓第一组、后弓及后弓第一组、胰背动脉第一组、第二组显示状况评分存在差异,P值分别为0.000、0.000、0.000、0.000、0.003、0.037。两种方法对胰十二指肠动脉前弓第二组、三组,胰十二指肠动脉后弓第二、三组,胰背动脉及胰背动脉第三组,胰大动脉及其第一、二组显示状况评分无统计学差异。结论 MSCTA是评价胰腺供血动脉有效且可靠的检查方法。
[Abstract]:Objective to evaluate the value of multislice spiral CT angiography (MSCTA) in the diagnosis of pancreatic artery supply in diabetic patients. Methods A total of 103 patients with diabetes were examined by 64 slice spiral CTA and DSA. The anterior arch, posterior arch, dorsal pancreatic artery and great pancreatic artery were observed respectively. Paired 蠂 ~ 2 test or binomial distribution 蠂 ~ 2 test were used to compare the display rate of pancreatic blood supply artery in two methods, and the display status of pancreatic supplying artery was compared by paired rank sum test. Results MSCTA and DSA showed the anterior arch of pancreaticoduodenal artery in patients with diabetes mellitus (98.1), and the display rate of posterior arch of pancreaticoduodenal artery (96.1g / 98.1), respectively. The two methods were applied to the anterior arch of pancreaticoduodenal artery. There was no difference in the display rate of the posterior arch (P = 1.000 ~ 0.625) P0.05.The two methods were used in the first group of anterior arch of pancreaticoduodenal artery. There was no difference in the display rates of the first group of the posterior arch (P = 1.0000.250) P0.05N. MSCTA and DSA were 64.1% and 57.3%, respectively, and the display rates of the great pancreatic artery were 77.7% and 68.0%, respectively. The two methods were applied to the dorsal pancreatic artery. There was no difference in the display rate of the great pancreatic artery (蠂 ~ (2) = 0.973n ~ (2.132) P = 0.324) 0.144 (P = 0.05), but there was no difference between the two methods in the first group of the dorsal pancreatic artery and the first group (蠂 ~ (2) = 0.148U 1.361P 0.700 0.243). Two methods were used to evaluate the first group of anterior arch and anterior arch of pancreaticoduodenal artery, the first group of posterior arch and posterior arch, the first group of dorsal pancreatic artery and the second group. The two methods showed no significant difference in the second group, the third group, the dorsal pancreatic artery and the dorsal pancreatic artery group, the greater pancreatic artery and the first, the second group, the third group, the second group and the third group, respectively. Conclusion MSCTA is an effective and reliable method for evaluating pancreatic artery supply.
【作者单位】： 北京航天总医院内分泌科;航天中心医院影像科;
【基金】：首都卫生发展科研专项2011-2005-01,IDF-BRIDGES Grant(ST12-024)
【分类号】：R587.2;R816.2
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本文编号：1898791