临床神经病学杂志2011,Vol.24Issue(5):381-383,3.
伴2型糖尿病的急性脑梗死患者颈内动脉狭窄的特点
Features of internal carotid artery stenosis in acute cerebral infarction patients with type 2 diabetes
赵桂森 1张计旺 2李斌 1冯慧贤 2霍彬2
作者信息
- 1. 300280 天津 大港油田总医院神经内科
- 2. 300280 天津 大港油田总医院影像中心
- 折叠
摘要
Abstract
Objective To study the features of internal carotid artery stenosis in acute cerebral infarction (ACI) patients with type 2 diabetes. Methods Fifty-four ACI patients with type 2 diabetes who were detected by transcranial doppler or CT angiography and found out internal carotid artery stenosis were examined by digital sabiractive angiography (DSA). And the results were analyzed. Results All of the 54 patients in this group were found internal carotid artery stenosis by DSA. The incidence of stenosis in single vessel was (42. 6% , 23/54), which was significantly lower than stenosis in multiple vessels (57.4%, 31/54) (P<0. 05). The severe and moderate rate of internal carotid artery stenosis (20.3% , 18.8% ) were significantly lower than mild (53.9% ), and were significantly higher than occlusion (7. 0% ) (all P<0. 05). The C4 rate of internal carotid artery stenosis (18.8%) was significantly lower than Cl (60.9%), and was significantly higher than C2, C3, C5, C6 and C7 ( 1.6% -6.2%)(all P<0. 05 ). Conclusions The internal carotid artery stenosises in type 2 diabetes patients with ACI are mostly multiple vessels, and the degrees are mostly mild, and the location is often in Cl.关键词
急性脑梗死/2型糖尿病/颈内动脉狭窄/数字减影血管造影Key words
acute cerebral infarction/ type 2 diabetes/ carotid artery stenosis/ digital subtraction angiography分类
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赵桂森,张计旺,李斌,冯慧贤,霍彬..伴2型糖尿病的急性脑梗死患者颈内动脉狭窄的特点[J].临床神经病学杂志,2011,24(5):381-383,3.