Pornprasertsuk-Damrongsri Suchaya, Thanakun Supanee
Department of Oral Radiology, Mahidol University Faculty of Dentistry, Bangkok, Thailand.
Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2006 Jan;101(1):110-5. doi: 10.1016/j.tripleo.2005.04.002. Epub 2005 Sep 21.
To determine the prevalence of carotid artery calcification (CAC) detected on panoramic radiographs in a Thai population.
The panoramic radiographs of the patients 50 and older (N = 1,370) visiting Mahidol University from January 1998 through September 2004 were retrospectively reviewed for CAC. The medical records of the positive subjects were then reviewed.
Thirty-four (2.5%) of the 1,370 patients, 16 men and 18 women, with a mean age of 69 and a range of 50 to 87 years, had 1 or more CACs. These calcifications were unilateral in 25 (73.5%) and bilateral in 9 (26.5%) subjects. Of those positive subjects, 18 reported hypertension, 10 reported diabetes mellitus, and 5 reported hyperlipidemia.
Although it is uncommon to find CAC in the Thai population, dentists should be aware of this calcification on the routine panoramic radiographs and promptly refer for cerebrovascular and cardiovascular evaluation.
确定泰国人群全景X线片上检测到的颈动脉钙化(CAC)患病率。
回顾性分析1998年1月至2004年9月期间到玛希隆大学就诊的50岁及以上患者(N = 1370)的全景X线片,以检查是否存在CAC。然后查阅阳性受试者的病历。
1370例患者中,34例(2.5%)有1处或多处CAC,其中男性16例,女性18例,平均年龄69岁,年龄范围为50至87岁。这些钙化在25例(73.5%)受试者中为单侧,9例(26.5%)为双侧。在这些阳性受试者中,18例报告有高血压,10例报告有糖尿病,5例报告有高脂血症。
虽然在泰国人群中发现CAC并不常见,但牙医应在常规全景X线片上留意这种钙化情况,并及时转诊进行脑血管和心血管评估。