Raue I, Sauer I, Voigt H
Z Gesamte Inn Med. 1980 Feb 15;35(4):166-9.
In 117 patients with angiographically ascertained arteriosclerotic obstructive disease in the region of pelvis and leg the smoking of cigarettes in a high degree confirmed itself as atherogenic factor of risk. The rate of hypertension of patients with vascular disease was increased in comparison with the average population. In contrast to a control group of test persons who after clinical angiological examination did not give a clue to a vascular disease the patients with vascular diseases shows a significantly higher percentage of radiologically visible calcifications in the region of the abdominal aorta, the iliacal and the peripheral arteries of the legs. The calcification of the vessels were generalized in 85%. Apart from the calcification of the abdominal aorta the sclerosis was visible above all in the vascular are switched after the obstruction. There were no differences between normotonic and hypertonic patients with vascular diseases concerning the state of sclerosis. Clear correlations between the proof of sclerosations of the vessels and the apparative angiologically measurable narrowing of the vascular system are not known. Nevertheless in our opinion the calcification of the arteries of the legs in younger patients may be regarded as a reference to a disturbance of the arterial blood supply which must be clarified. The densitometrically established content of calcium salt in the calcaneus showed a dependance on the formation of collaterals and the state of sclerosis in the corresponding type of obstruction and may give a quantitative measure for the degree of severity of an ischaemic osteoporosis.
在117例经血管造影确诊患有骨盆和腿部动脉硬化性阻塞疾病的患者中,大量吸烟被证实是一种致动脉粥样硬化的危险因素。与普通人群相比,血管疾病患者的高血压发生率有所增加。与临床血管学检查后未发现血管疾病迹象的测试人员对照组相比,血管疾病患者在腹主动脉、髂动脉和腿部外周动脉区域放射学可见钙化的比例显著更高。85%的血管钙化是全身性的。除腹主动脉钙化外,硬化主要见于阻塞后的血管区域。血管疾病的正常血压患者和高血压患者在硬化状态方面没有差异。血管硬化证据与血管造影可测量的血管系统狭窄之间的明确相关性尚不清楚。然而,我们认为年轻患者腿部动脉钙化可能提示动脉血液供应紊乱,必须予以明确。跟骨中通过密度测定确定的钙盐含量显示出与相应类型阻塞中侧支形成和硬化状态有关,并且可以为缺血性骨质疏松的严重程度提供定量指标。