冠状动脉纤维肌性结构不良的研究进展
侯倩,王倩,崔炜
摘要(Abstract):
<正>纤维肌性结构不良(fibromuscular dysplasia,FMD)是一种特发的、节段性的、非炎性、非粥样硬化性动脉疾病,1938年由Leadbetter等[1]首次提出。FMD尚无权威的流行病学及病原学研究结果,已有的统计结果显示,FMD具有常染色体显性遗传特性,可有卒中或心血管疾病家族史,好发于中年白人,绝大部分为女性(86.20%)[2]。性激素可能通过促进纤维化在其发病机制中发挥作用[3]。高血压病是该病的危险因素,过半患者合并高血压病,30%有高脂血症,10%有糖尿病史或吸烟史[2]。不过也有研究显示,吸烟与FMD患病率无关[4]。FMD造成动脉管壁的病理变化可发生于管壁各层,绝大部分(80%~90%)发生于中膜,表现为管壁和弹性层任
关键词(KeyWords): 冠状动脉;纤维肌性结构不良
基金项目(Foundation):
作者(Author): 侯倩,王倩,崔炜
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