期刊文献+

南疆地区汉族与维吾尔族人群冠状动脉粥样硬化多层螺旋CT表现对比分析

Comparative analysis of coronary artery atherosclerosis on multi-slice spiral coronary CT angiography in Han and Uygur healthy adults in southern Xinjiang
收藏 分享 导出
摘要 目的 探讨新疆南疆地区汉族及维吾尔族健康体检人群多层螺旋CT冠状动脉血管成像(CCTA)中冠状动脉粥样硬化的检出率、斑块性质及管腔狭窄程度的差异.方法 回顾性分析2016年6月—2017年1月喀什地区第一人民医院3565例维吾尔族及汉族健康人群CCTA资料.3565例中,男2271例、女1294例,年龄25~79(48.13±10.60)岁.其中维吾尔族2041例,年龄25~79(48.42±10.58)岁,男1299例、女742例;汉族1524例,年龄28~75(47.91±10.62)岁,男972例、女552例.对冠状动脉进行曲面重建(CPR)、最大强度投影(MIP)及容积再现(VR),比较汉族及维吾尔族人群冠状动脉粥样硬化的检出率及其所致管腔狭窄程度,以及斑块性质的差异.结果3565例健康人群中,冠状动脉粥样硬化CCTA检出率为33.44%(1192/3565),其中汉族人群检出率为28.41%(433/1524),维吾尔族人群检出率为37.19%(759/2041).共检出不同性质斑块2657个:汉族人群检出不同性质斑块802个,占总数30.19%(802/2657),其中钙化斑块551个、混合斑块140个、软斑块111个;维吾尔族人群检出不同性质斑块1855个,占总数69.81%(1855/2657),其中钙化斑块1313个、混合斑块311人、软斑块231个.动脉粥样硬化所致斑块狭窄程度:汉族人群组轻度狭窄者占71.83%(311/433),中度占12.47%(54/433),重度占3.23%(14/433);维吾尔族人群组狭窄程度分别为轻度占58.24%(442/759),中度占20.42%(155/759),重度占3.69%(28/759).两组冠状动脉粥样硬化检出率、狭窄度差异均有统计学意义(χ2=30.190,Z=-11.396,P值均<0.05),冠状动脉粥样硬化斑块性质差异无统计学意义(χ2=1.340,P>0.05).结论 新疆南疆地区维吾尔族与汉族健康成人CCTA对冠状动脉粥样硬化的检出率及其所致狭窄度存在差别,动脉粥样硬化斑块性质无明显差异. Objective To analyze the differences of detection rate of coronary atherosclerosis, character of atherosclerotic plaques, and degree of luminal stenosis on multi-slice spiral coronary CT angiography ( CCTA ) between Han and Uygur healthy adults in southern Xinjiang. Methods A retrospective analysis of CCTA images was performed on 3565 cases of Uygur and Han healthy adults in the first people's hospital of kashgar from June 2016 to January 2017, ranged from 25 to 79(48. 13 ± 10. 60) years old. There were 2041 cases of Uygurs aging from 25 to 79(48. 42 ± 10. 58) years old, with 1299 cases of males and 742 cases of females. There were 1524 cases of Hans aging from 28 to 75(47. 91 ± 10. 62) years old, with 972 cases of males and 552 cases of females. The CT images including curved plannar reformation(CPR), maximum intensity projection (MIP), and volume representation (VR) were performed on each coronary artery. The differences of detection rate of coronary atherosclerosis, characters of atherosclerotic plaques, and degrees of luminal stenosis on these CT images between Han and Uygur adults were compared. Results Among 3565 cases of healthy people, the detection rate of coronary&nbsp;atherosclerosis on CCTA was 33. 44% (1192/3565), with a detection rate of 28. 41%(433/1524) in Han people and 37. 19% (759/2041) in Uygur people. There were 2657 different characters of plaques detecting by CCTA, with an incidence of 30. 19% (802/2657) in Han's group (551 cases of calcification plaques, 140 cases of mixed plaques, and 111 cases of soft plaques), and an incidence of 69. 81% (1855/2657) in Uygur's group (1313 cases of calcification plaques, 311 cases of mixed plaques, and 231 cases of soft plaques). The degrees of stenosis were as following:mild stenosis in 311 cases (311/433, 71. 83%), moderate stenosis in 54 cases (54/433, 12. 47%), and severe stenosis in 14 cases (14/433, 3. 23%) in Han's group. In Uygur's group, the results were mild stenosis in 442 cases (442/759, 58. 24%), moderate stenosis in 155 cases (155/759, 2
作者 田序伟 郝月 艾克拜尔江·吐鲁洪 邱娅 买合米提江·达莫拉 马依迪丽·尼加提 戴国朝 Tian Xuwei;Hao Yue;Ekberjan Turghun;Qiu Ya;Mehmutjan Damolla;Maydil Nijat;Dai Guochao(Department of Medical Imaging,the First People's Hospital of Kashgar ,Kashgar,844000,China)
出处 《中华解剖与临床杂志》 2018年第5期394-399,共6页
基金 新疆自治区科技厅基层科技人才培养项目(QN2016JC0292)
关键词 冠状动脉疾病 斑块 动脉粥样硬化 冠状血管造影术 体层摄影术 螺旋计算机 维吾尔族 汉族 Coronary artery disease Plaque,atherosclerotic Coronary angiography Tomography,spiral computed Uygur nationality Han nationality
作者简介 通信作者:戴国朝,Email:tianxuwei521@163.com
  • 相关文献

参考文献12

二级参考文献136

共引文献907

投稿分析

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部 意见反馈
新型冠状病毒肺炎防控与诊疗专栏