不同Fontaine分期糖尿病下肢动脉病变的CTA特点

发布时间：2018-05-17 05:23

本文选题：糖尿病并发症 + 下肢　；参考：《中国介入影像与治疗学》2017年05期

【摘要】：目的探讨不同临床Fontaine分期糖尿病下肢动脉病变的CTA特点。方法回顾性分析100例临床诊断为糖尿病下肢动脉病变,且接受双下肢动脉CTA患者的资料。根据临床表现对患者进行Fontaine分期。并对下肢动脉进行CTA分级。分析不同临床Fontaine分期患者下肢动脉的狭窄程度。结果不同临床Fontaine分期患者下肢动脉狭窄程度分级差异有统计学意义(χ~2=186.24,P0.001)。膝上动脉、膝下动脉、足背及足底动脉不同Fontaine分期的狭窄程度分级差异有统计学意义(膝上动脉:χ~2=69.24,P0.001;膝下动脉:χ~2=111.59,P0.001;足背及足底动脉:χ~2=94.15,P0.001)。膝上动脉与膝下动脉、足背及足底动脉狭窄程度分级差异有统计学意义(Z=12.59,P0.001;Z=10.47;P0.001)。膝下动脉与足背及足底动脉狭窄程度分级差异有统计学意义(Z=12.66,P0.001)。膝下动脉闭塞常伴侧支血管生成。结论 CTA诊断结果能准确反映下肢动脉临床分期,是诊断糖尿病下肢动脉的理想检查方法。
[Abstract]:Objective to investigate the CTA features of lower extremity arterial lesions in diabetic patients with different clinical Fontaine stages. Methods the clinical data of 100 patients with diabetic lower extremity arteriopathy and bilateral lower extremity artery CTA were retrospectively analyzed. According to the clinical manifestations, the patients were divided into Fontaine stages. The lower extremity arteries were graded by CTA. To analyze the stenosis degree of lower extremity artery in patients with different clinical Fontaine stages. Results there were significant differences in the degree of lower extremity arterial stenosis in patients with different clinical Fontaine stages (蠂 2: 186.24 P 0.001). There were statistically significant differences in the degree of stenosis of superior genicular artery, inferior genicular artery, dorsum pedis artery and plantar artery in different Fontaine stages (supragena genu artery: 69.24 p0.001; inferior genicular artery: 蠂 ~ 2 / 111.59 ~ (9) 9) P0.001; dorsal and plantar artery of foot: 蠂 ~ (2 / 2) 94.15 / P _ (0.001). There were significant differences in the degree of stenosis between superior genicular artery and inferior genicular artery, dorsalis pedis artery and plantar artery. The degree of stenosis of inferior genu artery was significantly different from that of dorsalis pedis artery and plantar artery. Inferior genu artery occlusion is often accompanied by collateral angiogenesis. Conclusion CTA can accurately reflect the clinical stage of lower extremity artery and is an ideal method for the diagnosis of lower extremity artery in diabetes mellitus.
【作者单位】：广州中医药大学附属佛山中医院CT室;广州中医药大学附属佛山中医院病案统计室;
【基金】：佛山市卫生和计生局医学科研课题(20160010) 佛山市重点专科培育项目建设资助(Fspy3-2015019)
【分类号】：R587.2;R816.2

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