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缺血性脑血管病合并2型糖尿病患者全脑血管造影特点分析

杜大勇   

  1. 天津港口医院
  • 收稿日期:2011-10-13 修回日期:2012-07-17 出版日期:2012-12-15 发布日期:2012-12-15
  • 通讯作者: 杜大勇

Analysis of Pancerebral Angiography of Ischemic Cerebrovascular Disease with Type Ⅱ Diabetes

  • Received:2011-10-13 Revised:2012-07-17 Published:2012-12-15 Online:2012-12-15

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摘要： 【摘要】目的:探讨缺血性脑血管病合并2型糖尿病患者全脑血管造影的特点。方法:对247例缺血性脑血管病合并2型糖尿病（糖尿病组）患者与372例缺血性脑血管病不合并2型糖尿病（对照组）患者的全脑血管造影结果比较。结果:①糖尿病组与对照组两组血管狭窄程度存在着差异（X2=31.57，p<0.05），有统计学意义；糖尿病组中，中-重度狭窄和闭塞的患者明显多对照组（X2=30.34 P﹤0.05）。②2组中，血管病变均以颅内动脉病变为主，最易受累血管为大脑中动脉，但2组无统计学意义（X2=0.02 P﹤0.05）.③2组均以多支血管病变为主，但糖尿病组多支血管病变的发生率明显高于对照组（72.05%：53.56%），且以弥漫性血管病变（64.63%）和无侧枝血管代偿（71.18%）为主，而对照组以非弥漫性血管病变和无侧枝血管代偿为主。结论:缺血性脑血管病合并2型糖尿病患者全脑血管造影特点为血管狭窄程度更重，以颅内动脉受累为主，常表现为多支血管病变、弥漫性血管病变并且侧枝代偿少。

关键词: 缺血性脑血管病, 2型糖尿病, 脑血管造影, 血管病变

Abstract: 【ABSTRACT】 Objective::To investigate the characteristics of pancerebral angiography of ischemic cerebrovascular disease with type Ⅱ diabetes. Method:Compare the results of the pancerebral angiography of 247 cases of ischemic cerebrovascular disease with type Ⅱ diabetes(the diabetes group) and 372 cases of ischemic cerebrovascular disease without type Ⅱ diabetes(the control group) .Result:①The difference of vascular stenosis of the two groups has statistical significance(x2=31.57,p<0.05).There are more cases of moderate-severe vascular stenosis and occlusion in the diabetes group than the control group(x2=30.34,p<0.05). ②The majority of vascular involvement are intracranial blood vessels in the two groups. The middle cerebral arteries are the most easily involved. But the difference is not significant(x2=0.02, p<0.05).③Multiple blood vessels are involved for the majority of the two groups. But the incidence rate is higher in the diabetes group than the control group (72.05%:53.56%).The majority of vascular involvement in the diabetes group were diffuse without collateral circulation (64.63% and71.18%). The majority of vascular involvement in the control group are not diffuse without collateral circulation. Conclusion: The characteristics of pancerebral angiography of ischemic cerebrovascular disease with type Ⅱ diabetes: vascular stenosis is more severe and the majority of vascular involvement are intracranial arteries with multiple, diffuse and little compensatory manfestations.

Key words: Ischemic cerebrovascular disease, Type Ⅱ diabetes, Analysis ofpancerebral angiography, Vascular stenosis