天津医药

天津医药 ›› 2017, Vol. 45 ›› Issue (10): 1049-1052.doi: 10.11958/20170511

• 临床研究 • 上一篇    下一篇

老年患者肠系膜上动脉钙化性病变的 CT 影像学分析

邹循锋 1，顾腾辉 2，顾建华 1，谭志军 1△   

  1. 1 天津市第一中心医院普通外科（邮编 300192），2 放射科
  • 收稿日期:2017-04-26 修回日期:2017-08-29 出版日期:2017-10-15 发布日期:2017-10-13
  • 通讯作者: 邹循锋 E-mail:zouxunfeng223@sina.com
  • 作者简介:邹循锋（1978），男，医学博士，主治医师，主要从事胃肠外科的基础与临床研究

CT imaging analysis of superior mesenteric artery calcification in elderly patients

ZOU Xun-feng1, GU Teng-hui2, GU Jian-hua1, TAN Zhi-jun1△   

  1. 1 Department of General Surgery, 2 Department of Radiology, Tianjin First Central Hospital, Tianjin 300192, China
  • Received:2017-04-26 Revised:2017-08-29 Published:2017-10-15 Online:2017-10-13
  • Contact: xun-feng Zou E-mail:zouxunfeng223@sina.com

PDF (PC)

4019

摘要： 目的 回顾性分析老年患者腹主动脉及肠系膜上动脉（SMA）粥样硬化与缺血性肠病（IBD）的相关性。方 法 选取本院 2010 年 1 月—2015 年 12 月住院期间确诊 IBD 的老年患者 20 例（IBD 组）及同期住院无 IBD 的老年 冠心病患者 20 例（对照组），利用 Syngo.Via 软件对比分析 2 组患者腹主动脉及 SMA 的 CT 影像学资料。结果 CT 影像资料显示老年患者的钙化斑块在对照组中以点状为主，而在 IBD 组中以条形斑块为主，部分甚至融合为环状。 IBD 组中 SMA 的钙化斑块总数较对照组明显增多（χ2=5.010，P=0.025），管腔狭窄更明显（Z=3.370，P=0.001）。在 IBD 组中，SMA 病变程度与其开口狭窄程度呈正相关（rs=0.650，P=0.002）。结论 SMA 点状钙化斑块是冠心病老年 人血管病变基础，大块斑块及其导致的 SMA 开口狭窄是引起老年人动脉粥样硬化性 IBD 的主要原因。

关键词: 腹主动脉钙化, 缺血性肠病, 肠系膜上动脉钙化, CT 影像

Abstract: Objective To retrospectively analyze the relationship between the atherosclerosis plaques in abdominal aorta and superial mesenterial artery (SMA) and the development of ischemia bowel disease (IBD) in elderly patients. Methods Elderly patients diagnosed as IBD (n=20) and non-IBD elderly patients with coronary heart disease (n=20) were selected in our hospital from January 2010 to December 2015. Data of CT imaging of abdominal aorta and SMA were evaluated by Syngo.Via software in two groups. Results The calcified plaques were dominated by dots in control group, while they were the annular lesions in IBD group, according to the CT imaging data. The mean sum of calcification in SMA was significantly increased in IBD group than that in control group (χ2=5.010，P=0.025). The stenosis of SMA was more significant in IBD group compared to that of control group (Z=3.370，P=0.001). The degree of SMA lesion was positively correlated with its opening stenosis in the IBD group (rs=0.650，P=0.002). Conclusion The basic vascular lesion is dot calcification in elderly patients with coronary heart disease, and the opening stenosis in SMA induced by mass calcification is the main cause of atherosclerosis-induced ischemic intestinal disease in elderly people.

Key words: abdominal aortic calcification, ischemia bowel disease, superior mesenteric arterial calcification, CT imaging

中图分类号: