多层螺旋CT血管造影对糖尿病足患者病情程度判断中的价值

doi:10.7517/issn.1674-0475.201203

摘要/Abstract

摘要： 本次研究的目的是探讨多层螺旋CT（MSCT）血管造影在糖尿病足（DF）下肢动脉病变诊断中的应用。选取DF患者78例为DF组，轻度患者41例，重度患者37例，同时选取糖尿病患者80例作为对照组（DM组），采用MSCT血管造影检测下肢动脉管腔截面积。DF组股动脉、腘动脉和胫后动脉管腔截面积明显小于DM组（P<0.05）；DF组重度患者髂总动脉、股动脉、腘动脉、胫前动脉、胫后动脉、腓动脉和足背动脉管腔截面积明显小于轻度患者（P<0.05）；DF组不同性别、年龄患者下肢动脉管腔截面积比较差异无统计学意义（P>0.05）。MSCT血管造影可清晰显示DF下肢动脉病变情况，其中下肢动脉管腔截面积可反映病情程度。

关键词: 多层螺旋CT, 血管造影, 糖尿病足, 下肢动脉病变

Abstract: The purpose of this study was to explore the application of multi-slice spiral CT (MSCT) angiography in the diagnosis of diabetic foot (DF) lower limb arterial disease. A total of 78 patients with DF were selected as DF group, 41 patients were mild, 37 were severe, 80 patients with diabetes were selected as control group (DM group), and MSCT angiography was used to detect the cross-sectional area of lower extremity artery lumen. The lumen cross-sectional areas of femoral artery, popliteal artery and posterior tibial artery in DF group were significantly smaller than those in DM group (P<0.05); The lumen cross-sectional areas of common iliac artery, femoral artery, popliteal artery, anterior tibial artery, posterior tibial artery, peroneal artery and dorsalis pedis artery in severe patients of DF group were significantly smaller than those of mild patients (P<0.05); There was no significant difference in the cross-sectional area of lower extremity artery in patients of different gender and age of DF group (P>0.05). MSCT angiography can clearly show the arterial lesions of DF lower limbs, and the sectional area of arterial lumen of lower limbs can reflect the severity of the disease.

Key words: multi-slice spiral CT, angiography, diabetic foot, lower extremity arteriopathy

张宇峰, 刘艳武. 多层螺旋CT血管造影对糖尿病足患者病情程度判断中的价值[J]. 影像科学与光化学, 2021, 39(4): 611-614.

ZHANG Yufeng, LIU Yanwu. Multi-slice Spiral CT Angiography in the Diagnosis of Diabetic Foot Lower Extremity Artery Disease[J]. IMAGING SCIENCE AND PHOTOCHEMISTRY, 2021, 39(4): 611-614.

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