Analysis on 60 cases of different superior mesenteric artery ischemic diseases
Objective To investigate the clinical features,imaging features,and risk factors of patients with different superior mesenteric artery ischemic diseases(SMAI).Methods The clinical data of 60 patients with SMAI treated at Xi'an High-tech Hospital between December 2019 and December 2022 were retrospectively analyzed.There were 40 males and 20 females.They were(66.47±10.33)years old.Among them,there were 28 cases of mesenteric artery dissection(SMAD),18 cases of mesenteric artery embolism(SMAE),and 14 cases of mesenteric artery thrombosis(SMAT).The clinical data of the SMAD group,the SMAE group,and the SMAT group were compared by t test or x2 test.The risk factors of SMAI were analyzed by logistic regression.Results The age,proportions of the patients with hypertension and atrial fibrillation,neutrophil percentage,and levels of fibrinogen and D dimer in the SMAD group were(64.37±2.20)years,19 cases(67.86％),1 case(3.57％),(77.70±3.52)％,(4.25±0.62)g/L,and(4.65±0.44)mg/L;those in the SMAE group were(68.55±3.25)years,17 cases(94.44％),10 cases(55.56％),(88.71±4.50)％,(4.86±0.80)g/L,and(3.97±0.53)mg/L;those in the SMAT group were(64.88±2.25)years,8 cases(57.14％),1 case(7.14％),(82.59±4.38)％,(4.20±0.69)g/L,and(4.15±0.42)mg/L;there were statistical differences(all P＜0.05).The influencing factors were included in the multivariate logistic regression analysis,and the results showed that age[odds ratio(OR)=1.394,95％confidence interval(CI)1.135-1.712],hypertension(OR=1.910,95％CI 1.127-3.236),atrial fibrillation(OR=2.140,95％CI 1.084-4.225),neutrophils(OR=3.080,95％CI 1.336-7.099),fibrinogen(OR=3.554,95％CI 1.167-10.819),and D-dimer(OR=3.242,95％CI 3.214-24.821 were risk factors for SMAI(all P＜0.05).Conclusions SMAI tends to occur in the elderly population and is often complicated with hypertension,atrial fibrillation,and other complications.Its CT imaging shows intestinal wall thickening,intestinal dilation,abdominal fluid accumulation,etc.Age,hypertension,atrial fibrillation,neutrophil,fibrinogen,and D-dimer are risk factors for SMAI.
Superior mesenteric artery diseasesClinical featuresImaging featuresRisk factors
万方数据
维普
