尿毒症患者胸部CT心血管钙化发病特点分析

Analysis of the Characteristics of CT Cardiovascular Calcification in Patients with Uremia

目的分析尿毒症患者应用胸部CT检查心血管钙化的发病率特点。方法择取我院2017年1月至2018年12月间收治的尿毒症患者80例建立尿毒症组,同期选取本院收治非尿毒症患者80例建立对照组,分别对患者进行16排螺旋CT扫描,对两组患者检查情况、心血管钙化发病特点进行分析总结。结果尿毒症组患者CT检查显示心脏瓣膜与血管钙化发生率高于对照组,差异有统计学意义(P<0.05);尿毒症组患者CT检查下主动脉弓、瓣膜、冠状动脉、右冠状动脉、前降支以及左旋支的血管钙化发生率高于对照组,差异有统计学意义(P<0.05)。结论尿毒症患者的心血管钙化发生率相比于非尿毒症患者明显更高,且尿毒症患者下主动脉弓、瓣膜、冠状动脉、右冠状动脉、前降支以及左旋支的血管钙化发生率均相对较高,临床上针对尿毒症患者在临床上应通过CT扫描检查心血管钙化情况,以便为临床诊断与干预提供参考依据。

Objective To analyze the incidence of cardiovascular calcification in patients with uremia by chest CT.Methods 80 cases of uremia patients established between January 2017 to December 2018 were admitted to the hospital.Over the same period,80 non-uremic patients admitted to the hospital were selected to establish a control group,and 16-slice spiral CT scans were performed on the patients.The examination conditions and the characteristics of cardiovascular calcification were analyzed and summarized in the two groups.Results CT examination showed that the incidence of the heart valve and vascular calcification was higher in the uremic group than in the control group(P<0.05).The incidence of vascular calcification in the aortic arch,valve,coronary artery,right coronary artery,anterior descending branches,and left circumflex branches were higher in the uremic group than in the control group under CT examination,and the difference was statistically significant(P<0.05).Conclusion The incidence of cardiovascular calcification in patients with uremia is significantly higher than that in non-uremic patients,and the incidence of vascular calcification in the lower aortic arch,valve,coronary artery,right coronary artery,anterior descending artery,and left circumflex artery in uremic patients is relatively high,clinically,uremia patients should be clinically examined by CT scan for cardiovascular calcification,in order to provide a reference for clinical diagnosis and intervention.