MRI评价脑卒中伴T2DM患者颈动脉粥样硬化斑块的研究

doi:10.7517/issn.1674-0475.211211

影像科学与光化学 ›› 2022, Vol. 40 ›› Issue (3): 636-640.DOI: 10.7517/issn.1674-0475.211211

MRI评价脑卒中伴T2DM患者颈动脉粥样硬化斑块的研究

周悦¹, 齐恩林², 吕士英³, 姜立杰¹

1. 衡水市人民医院影像中心, 河北衡水 053000;
2. 衡水市人民医院超声科, 河北衡水 053000;
3. 石家庄市人民医院影像科, 河北石家庄 050000

收稿日期:2021-12-20 出版日期:2022-05-15 发布日期:2022-05-27

Study of Carotid Atherosclerotic Plaque in Stroke Patients with T2DM by MRI

ZHOU Yue¹, QI Enlin², LV Shiying³, JIANG Lijie¹

1. Department of Radiology, Hengshui People's Hospital, Hengshui 053000, Hebei, P. R. China;
2. Department of Ultrasound, Hengshui People's Hospital, Hengshui 053000, Hebei, P. R. China;
3. Department of Radiology, Shijiazhuang People's Hospital, Shijiazhuang 050000, Hebei, P. R. China

Received:2021-12-20 Online:2022-05-15 Published:2022-05-27

摘要/Abstract

摘要： 本文目的是探讨脑卒中伴2型糖尿病(T2DM)患者应用磁共振成像(MRI)评价颈动脉粥样硬化斑块的价值。选取脑卒中伴T2DM患者81例(观察组),脑卒中不伴T2DM患者90例(对照组),比较两组颈动脉斑块MRI分型等差异。观察组颈动脉斑块MRI分型Ⅳ～Ⅴ型、Ⅵ型比例,血管总面积(TVA)、管壁面积(WA)和管壁标准化指数(NWI)、颈动脉狭窄程度、纤维蛋白原(Fib)明显高于对照组(P＜0.05),而Ⅲ型比例明显低于对照组(P＜0.05)。颈动脉狭窄程度与TVA、WA、Fib呈正相关(P＜0.05)。MRI在斑块成分分析、颈动脉血管壁定量测量方面有较好的应用价值,特别是应用于脑卒中伴T2DM患者颈动脉粥样硬化程度较重时。

关键词: 磁共振成像, 脑卒中, 2型糖尿病, 颈动脉粥样硬化

Abstract: This study explored stroke patients with type 2 diabetes mellitus (T2DM), the value of magnetic resonance imaging (MRI) in evaluating carotid atherosclerotic plaque. 81 stroke patients with T2DM (observation group) and 90 stroke patients without T2DM (control group) were selected, the MRI Classification of carotid plaque and so on between the two groups were compared. The proportion of Carotid Plaque MRI types Ⅳ-Ⅴ and Ⅵ, total vessel area (TVA), wall area (WA), Normal Wall Index (NWI), degree of carotid stenosis and fibrinogen (Fib) in the observation group were significantly higher than those in the control group (P<0.05), the proportion of type Ⅲ was significantly lower than that in the control group (P<0.05). MRI has good application value in the analysis of plaque composition and quantitative measurement of carotid artery wall, especially when the carotid atherosclerosis of stroke patients with T2DM is severe.

Key words: magnetic resonance imaging, stroke, type 2 diabetes, carotid atherosclerosis

周悦, 齐恩林, 吕士英, 姜立杰. MRI评价脑卒中伴T2DM患者颈动脉粥样硬化斑块的研究[J]. 影像科学与光化学, 2022, 40(3): 636-640.

ZHOU Yue, QI Enlin, LV Shiying, JIANG Lijie. Study of Carotid Atherosclerotic Plaque in Stroke Patients with T2DM by MRI[J]. IMAGING SCIENCE AND PHOTOCHEMISTRY, 2022, 40(3): 636-640.

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MRI评价脑卒中伴T2DM患者颈动脉粥样硬化斑块的研究

Study of Carotid Atherosclerotic Plaque in Stroke Patients with T2DM by MRI

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