CAJ | 학술논문

目的探讨应用DSA和MRA检测糖尿病患者颅内血管病变的临床意义．方法对142例糖尿病患者，使用磁共振血管造影（MRA）和数字减影血管造影（DSA）检测颅内血管病变．结果共检测动脉血管1988支，其中动脉粥样硬化性狭窄1123支（56.5%），2种检测方法无显著性差异（χ2＝0.36、0.47、0.53，P＞0.05）；对双侧ACA、MCA、PCA 284支血管进行检测，结果显示2种检测方法对显示的平均分支数差异无统计学意义（t＝0.27、0.56、0.89，P＞0.05）；DSA检查Willis环血管狭窄结果显示656支动脉狭窄，MRA评价Willis环灵敏度和特异度均为90%以上．结论 MRA与DSA均可应用于诊断糖尿病患者颅内病变，MRA的无创性检查优势值得临床医师关注．
목적탐토응용DSA화MRA검측당뇨병환자로내혈관병변적림상의의．방법대142례당뇨병환자，사용자공진혈관조영（MRA）화수자감영혈관조영（DSA）검측로내혈관병변．결과공검측동맥혈관1988지，기중동맥죽양경화성협착1123지（56.5%），2충검측방법무현저성차이（χ2＝0.36、0.47、0.53，P＞0.05）；대쌍측ACA、MCA、PCA 284지혈관진행검측，결과현시2충검측방법대현시적평균분지수차이무통계학의의（t＝0.27、0.56、0.89，P＞0.05）；DSA검사Willis배혈관협착결과현시656지동맥협착，MRA평개Willis배령민도화특이도균위90%이상．결론 MRA여DSA균가응용우진단당뇨병환자로내병변，MRA적무창성검사우세치득림상의사관주．
Objective To explore the clinical significance of DSA and MRA detection in cerebrovascular desease of patients with diabetes mellitus.Methods 142 diabetic patients were selected in the study. The vascular structure was detected by digital subtraction angiography (DSA) and magnetic resonance angiography (MRA) . Results There was 1123 (56.5%) branches of artery atherosclerotic stenosis in a total of 1988 detecting artery and there was no significant difference between the DSA and MRA (χ2=0.36、0.47、0.53,P>0.05) . The results showed that the DSA and MRA methods had no significant difference on display average count in detecting bilateral ACA,MCA,PCA 284 vessels (t=0.27、0.56、0.89,P>0.05) . There were 656 arteries stenosis in checking the Willis ring vascular by DSA evaluation of the Willis ring and the sensitivity and specificity by MRA were more than 90%. Conclusion MRA and DSA can be applied in diagnosis of in cerebrovascular disease of patients with diabetes mellitus.The noninvasive advantages of MRA are worth to be concerned by clinician.