摘要
目的:探讨不同病程糖尿病患者冠状动脉CT血管造影(Coronary Computed Tomography Angioplasty,CCTA)血管特征及糖尿病患者CCTA的检查时机。材料和方法:回顾性分析209例临床怀疑冠心病而行CCTA检查的糖尿病患者的冠脉特征,按病程长短分为5年以内组、5年以上组。其中42例同时行选择性冠状动脉造影检查。结果:5年以上组糖尿病患者血管狭窄发生率(38.07%)较5年以内组(23.75%)显著增高(P<0.05),二组间多支血管病变发生率5年以上组(23.85%)显著大于5年以内组(10.0%,P<0.05)。结论:糖尿病患者宜在病程早期行冠心病的筛查,CCTA可提供简便、无创的检查手段。
Purpose： To observe the CT angiographic characteristics of diabetic patients with different courses and to explore the adequate time for Coronary Computed Tomography Angioplasty（CCTA）. Materials and Methods： A retrospective analysis was performed on the coro- nary CT angiographie characteristics of 209 diabetic patients suspected of coronary heart disease （ CHD ）. Patients were divided into two groups： in one group with diabetes mellitus （DM） within 5 years （ 100 cases） and with DM more than 5 years （109 cases）. 42 patients also received CAG examination. Results： There was a significant difference between these two groups in the incidence of coronary stenosis （38.07% vs 23.75%, P 〈 0.05） and the incidence of multivessel changes （23.85% vs 10.0%, P 〈 0.05 ）. Conclusion： DM patients should undertaken screening examination for CHD at early stage. CCTA is a simple and noninvasive imaging method.
出处
《中国医学影像学杂志》
CSCD
北大核心
2009年第4期288-291,共4页
Chinese Journal of Medical Imaging
