本文選題：胰腺 + 動脈　； 參考：《臨床放射學(xué)雜志》2017年12期

【摘要】：目的探討多層螺旋CT血管造影(MSCTA)對糖尿病患者胰腺供血動脈的顯示價值。方法回顧性研究103例糖尿病患者,均接受腹部64層螺旋CTA及腹部DSA檢查,分別觀察胰十二指腸動脈前弓、后弓、胰背動脈、胰大動脈的顯示情況。應(yīng)用配對χ~2檢驗(yàn)或二項(xiàng)分布χ~2檢驗(yàn)比較兩種方法胰腺供血動脈的顯示率;用配對秩和檢驗(yàn)比較兩種方法的胰腺供血動脈顯示狀況。結(jié)果 MSCTA與DSA對糖尿病患者胰十二指腸動脈前弓的顯示率均為98.1%,對胰十二指腸動脈后弓顯示率分別為96.1%、98.1%,兩種方法對胰十二指腸動脈前弓、后弓的顯示率無差異(P值分別為1.000、0.625,P0.05);兩種方法對胰十二指腸動脈前弓第一組、后弓第一組顯示率均無差異(P值分別為1.000、0.250,P0.05)。MSCTA和DSA對胰背動脈的顯示率分別是64.1%、57.3%;對胰大動脈的顯示率分別是77.7%、68.0%,兩種方法對胰背動脈、胰大動脈顯示率無差異(χ~2值分別為0.973、2.132,P值分別為0.324、0.144,P0.05);兩種方法對胰背動脈第一組、胰大動脈第一組顯示率無差異(χ~2值為0.148、1.361,P=0.700、0.243)。兩種方法對胰十二指腸動脈前弓及前弓第一組、后弓及后弓第一組、胰背動脈第一組、第二組顯示狀況評分存在差異,P值分別為0.000、0.000、0.000、0.000、0.003、0.037。兩種方法對胰十二指腸動脈前弓第二組、三組,胰十二指腸動脈后弓第二、三組,胰背動脈及胰背動脈第三組,胰大動脈及其第一、二組顯示狀況評分無統(tǒng)計(jì)學(xué)差異。結(jié)論 MSCTA是評價胰腺供血動脈有效且可靠的檢查方法。
[Abstract]:Objective to evaluate the value of multislice spiral CT angiography (MSCTA) in the diagnosis of pancreatic artery supply in diabetic patients. Methods A total of 103 patients with diabetes were examined by 64 slice spiral CTA and DSA. The anterior arch, posterior arch, dorsal pancreatic artery and great pancreatic artery were observed respectively. Paired 蠂 ~ 2 test or binomial distribution 蠂 ~ 2 test were used to compare the display rate of pancreatic blood supply artery in two methods, and the display status of pancreatic supplying artery was compared by paired rank sum test. Results MSCTA and DSA showed the anterior arch of pancreaticoduodenal artery in patients with diabetes mellitus (98.1), and the display rate of posterior arch of pancreaticoduodenal artery (96.1g / 98.1), respectively. The two methods were applied to the anterior arch of pancreaticoduodenal artery. There was no difference in the display rate of the posterior arch (P = 1.000 ~ 0.625) P0.05.The two methods were used in the first group of anterior arch of pancreaticoduodenal artery. There was no difference in the display rates of the first group of the posterior arch (P = 1.0000.250) P0.05N. MSCTA and DSA were 64.1% and 57.3%, respectively, and the display rates of the great pancreatic artery were 77.7% and 68.0%, respectively. The two methods were applied to the dorsal pancreatic artery. There was no difference in the display rate of the great pancreatic artery (蠂 ~ (2) = 0.973n ~ (2.132) P = 0.324) 0.144 (P = 0.05), but there was no difference between the two methods in the first group of the dorsal pancreatic artery and the first group (蠂 ~ (2) = 0.148U 1.361P 0.700 0.243). Two methods were used to evaluate the first group of anterior arch and anterior arch of pancreaticoduodenal artery, the first group of posterior arch and posterior arch, the first group of dorsal pancreatic artery and the second group. The two methods showed no significant difference in the second group, the third group, the dorsal pancreatic artery and the dorsal pancreatic artery group, the greater pancreatic artery and the first, the second group, the third group, the second group and the third group, respectively. Conclusion MSCTA is an effective and reliable method for evaluating pancreatic artery supply.
【作者單位】： 北京航天總醫(yī)院內(nèi)分泌科;航天中心醫(yī)院影像科;
【基金】：首都衛(wèi)生發(fā)展科研專項(xiàng)2011-2005-01,IDF-BRIDGES Grant(ST12-024)
【分類號】：R587.2;R816.2
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本文編號：1898791