摘要
目的 分析高原地区颈动脉体瘤(carotid body tumor, CBT)的危险因素,探讨颈动脉体瘤与同侧颈动脉斑块之间的关系以及讨论高分辨率血管壁成像(high resolution vascular wall imaging, HR-VWI)对CBT及颈动脉斑块的诊断优势。材料与方法 回顾性分析经HR-VWI检查并且常年居住在青海地区的患者194例。将患者分为CBT组及无CBT组,比较两组患者的一般资料及临床资料,采用单因素分析和多因素logistic回归分析CBT的危险因素。若CBT同侧合并颈动脉斑块,则确定斑块的性质及数目,分析CBT与同侧颈动脉斑块之间的关系。结果 性别(OR=20.082,95%CI:6.661~60.997,P<0.001)、年龄(OR=0.958,95%CI:0.926~0.991,P=0.014)、居住地海拔高度(OR=1.001,95%CI:1.000~1.002,P=0.018)、血红蛋白(OR=1.022,95%CI:1.003~1.043,P=0.026)、平均血红蛋白浓度(OR=0.936,95%CI:0.895~0.979,P=0.004)为CBT的危险因素;CBT会使同侧颈动脉斑块的发生率增高(χ^(2)=7.260,P<0.05);斑块发生率与CBT分型无关(χ^(2)=1.117,P>0.05);斑块性质与CBT分型无关(χ2=1.138,P>0.05)。结论 CBT会使同侧颈动脉斑块的发生率增高;HR-VWI能够对CBT及颈动脉斑块进行精确诊断。
Objective:To analyze the risk factors of carotid body tumor(CBT)in the plateau area,explore the relationship between carotid body tumor and ipsilateral carotid plaque,discuss the advantages of high resolution vascular wall imaging(HR-VWI)in the diagnosis of CBT and carotid plaque.Materials and Methods:A total of 194 patients who underwent HR-VWI examination and had resided in Qinghai region all year round were analyzed.Patients were divided into CBT group and non-CBT group,and the general and clinical data of the two groups were compared.Univariate analysis and multivariate logistic regression were used to analyze the risk factors of CBT.If the ipsilateral CBT was accompanied by carotid plaque,the property and number of plaques were determined,and the relationship between CBT and ipsilateral carotid plaque was analyzed.Results:Gender(OR=20.082,95%CI:6.661-60.997,P<0.001),Age(OR=0.958,95%CI:0.926-0.991,P=0.014),Altitude of residence(OR=1.001,95%CI:1.000-1.002,P=0.018),Hemoglobin(OR=1.022,95%CI:1.003-1.043,P=0.026),Average hemoglobin concentration(OR=0.936,95%CI:0.895-0.979,P=0.004)were risk factors for CBT;CBT will increase the incidence of ipsilateral carotid plaques(χ2=7.260,P<0.05);the incidence of plaque has nothing to do with CBT classification(χ2=1.117,P>0.05);plaque property has nothing to do with the CBT classification(χ2=1.138,P>0.05).Conclusions:CBT increases the incidence of ipilateral carotid plaque;HR-VWI can accurately diagnose CBT and carotid plaque.
作者
孙欣栋
鲍海华
SUN Xindong;BAO Haihua(Medical Imaging Center,Affiliated Hospital of Qinghai University,Xining 810001,China)
出处
《磁共振成像》
CAS
CSCD
北大核心
2023年第4期46-50,94,共6页
Chinese Journal of Magnetic Resonance Imaging
基金
青海省省级临床重点专科建设项目。
关键词
高原
颈动脉体瘤
颈动脉斑块
磁共振成像
高分辨率血管壁成像
危险因素
high altitude
carotid body tumor
carotid artery plaque
magnetic resonance imaging
high-resolution vessel wall imaging
risk factors
