ISSN 1004-4140
CN 11-3017/P

糖尿病下肢动脉病变64层螺旋CT血管成像分析

何伟红, 符熙, 柯祺, 袁健祥, 董相宇

何伟红, 符熙, 柯祺, 袁健祥, 董相宇. 糖尿病下肢动脉病变64层螺旋CT血管成像分析[J]. CT理论与应用研究, 2018, 27(3): 373-378. DOI: 10.15953/j.1004-4140.2018.27.03.10
引用本文: 何伟红, 符熙, 柯祺, 袁健祥, 董相宇. 糖尿病下肢动脉病变64层螺旋CT血管成像分析[J]. CT理论与应用研究, 2018, 27(3): 373-378. DOI: 10.15953/j.1004-4140.2018.27.03.10
HE Wei-hong, FU Xi, KE Qi, YUAN Jian-xiang, DONG Xiang-yu. Analysis of 64 Slice Spiral CT Angiography in Diabetic Lower Extremity Arterial Disease[J]. CT Theory and Applications, 2018, 27(3): 373-378. DOI: 10.15953/j.1004-4140.2018.27.03.10
Citation: HE Wei-hong, FU Xi, KE Qi, YUAN Jian-xiang, DONG Xiang-yu. Analysis of 64 Slice Spiral CT Angiography in Diabetic Lower Extremity Arterial Disease[J]. CT Theory and Applications, 2018, 27(3): 373-378. DOI: 10.15953/j.1004-4140.2018.27.03.10

糖尿病下肢动脉病变64层螺旋CT血管成像分析

基金项目: 

佛山市卫生与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)。

详细信息
    作者简介:

    何伟红*(1984-),女,硕士研究生,广州中医院大学附属佛山中医院副主任医师,主要从事外周血管影像诊断工作,Tel:13360337781,E-mail:hwh_0115@126.com。

  • 中图分类号: R812;R445

Analysis of 64 Slice Spiral CT Angiography in Diabetic Lower Extremity Arterial Disease

  • 摘要: 目的:研究糖尿病下肢动脉病变64层螺旋CT血管成像(CTA)特征。方法:回顾性分析80例临床诊断为糖尿病,并行64层螺旋CTA检查的患者资料。下肢动脉分为4段(髂动脉段、股动脉段、腘动脉段和小腿动脉段)。统计下肢动脉病变部位、数目、性质、长度(<5 cm,5~10 cm和>10 cm)并分析其特点。结果:根据4分段法,80例患者中病变动脉148条,多节段病变55(37.16%)条,其中受累股动脉104(70.27%)条,受累的小腿动脉134(90.54%)条。总病变325处,其中闭塞性疾病179(55.08%)处,狭窄性病变约146(44.92%)处。>10 cm闭塞病变主要发生在小腿动脉66处,占小腿动脉病变的49.25%,以胫前动脉和胫后动脉为主。结论:糖尿病下肢动脉病变CTA表现主要以多节段硬化闭塞为主,多累及股动脉和小腿动脉。无创性CTA可用于下肢动脉病变的常规评估。
    Abstract: Objective: To study the characteristics of 64 slice spiral CT angiography (CTA) in diabetic lower extremity arterial disease (LEAD). Methods: Analyze the clinical data of 80 diabetic cases that performed 64 slice spiral CTA examination retrospectively. The arteries of lower extremity were divided into the following four segments:Iliac, femoral, popliteal and crural artery. Count on the lower extremity arterial lesions, number, feature and length (<5 cm, 5-10 cm, >10 cm), and analyze the characteristic of LEAD. Results: Of 148 diabetic lower limbs in the 80 cases, multiple segmental lesions were seen in 55(37.16%), femoral arterial lesions in 104, and crural arterial lesions in 134. Based on segmental angiographic classification, a total of 325 vascular lesions were detected, including stricture lesions (44.92%) and occlusive lesions (55.08%). Of the 134 crural lesions, 70.90% were occlusions, and most of which were longer than 10 cm and located in anterior and posterior tibial arteries, while only a few peroneal arteries were involved (P<0.05). Conclusion: The main feature of diabetic LEAD is multi-level atherosclerotic occlusion, the femoral and the crural arteries are most likely to be involved. Non-invasive MSCTA can be used for routine evaluation of LEAD.
  • 期刊类型引用(9)

    1. 邹靓萍,张华. 多层螺旋CT在糖尿病下肢动脉病变中的应用价值. 糖尿病新世界. 2023(20): 153-156 . 百度学术
    2. 许灿,韩枫,郭伟宾. 糖尿病与非糖尿病下肢血管病变患者CT血管造影特点比较. 临床合理用药杂志. 2021(05): 168-169 . 百度学术
    3. 翟丽娜. MRI多模态成像、CTA及DUS在下肢血管病变中鉴别诊断的应用价值. 中西医结合心血管病电子杂志. 2021(01): 61-63+102 . 百度学术
    4. 邢丹. 64-SCTA对糖尿病下肢血管病变诊断效能的影响. 临床研究. 2020(05): 148-149 . 百度学术
    5. 郑久荣,田原,吴鹏举. 多层螺旋CT鉴别诊断糖尿病与非糖尿病下肢血管病变的价值. 国外医学(医学地理分册). 2019(02): 174-177 . 百度学术
    6. 覃键,林堆贤,邓志锋,梅宝富,陈琳,郑兰. 长球囊血管扩张术治疗糖尿病足的临床对照研究. 现代医用影像学. 2019(08): 1898-1900 . 百度学术
    7. 任晓静. 下肢动脉CTA与MRA在糖尿病下肢血管病变诊断中的应用. 中国CT和MRI杂志. 2019(11): 135-138 . 百度学术
    8. 王宝. 128层螺旋CTA在下肢动脉病变中的应用价值研究. 现代医用影像学. 2019(11): 2437-2438 . 百度学术
    9. 黄玺,吴玉文,叶玲. 血清学指标联合CT血管成像诊断糖尿病足下肢动脉病变的临床价值. 中国CT和MRI杂志. 2019(12): 126-128 . 百度学术

    其他类型引用(0)

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出版历程
  • 收稿日期:  2018-02-01
  • 网络出版日期:  2021-11-07

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