本文關(guān)鍵詞： 顱內(nèi)動(dòng)脈瘤 血管內(nèi)栓塞　出處：《中國(guó)老年學(xué)雜志》2017年14期 　論文類型：期刊論文

【摘要】：目的探討老年顱內(nèi)動(dòng)脈瘤患者血管內(nèi)栓塞效果及影響治療效果的相關(guān)因素。方法血管內(nèi)栓塞治療的112例老年顱內(nèi)動(dòng)脈瘤患者,根據(jù)數(shù)字減影全腦血管造影(DSA)判斷動(dòng)脈瘤栓塞效果,對(duì)比分析不同栓塞效果患者的臨床資料,并采用Logistic回歸分析影響老年患者顱內(nèi)動(dòng)脈瘤栓塞結(jié)果的可能因素。結(jié)果 112例患者經(jīng)血管內(nèi)介入栓塞術(shù)后,致密栓塞60例,非致密栓塞52例。單因素分析結(jié)果顯示,致密栓塞組和非致密栓塞組性別、年齡、慢性病史、吸煙史、動(dòng)脈瘤部位無(wú)統(tǒng)計(jì)學(xué)差異(P0.05),兩組動(dòng)脈瘤大小、形態(tài)、破裂狀態(tài)、手術(shù)類型及術(shù)前Hunt-Hess分級(jí)均有統(tǒng)計(jì)學(xué)差異(P0.05)。多因素Logistic回歸分析顯示動(dòng)脈瘤破裂狀態(tài)、動(dòng)脈瘤形態(tài)、大小、手術(shù)類型及Hunt-Hess分級(jí)均是影響老年顱內(nèi)動(dòng)脈瘤栓塞效果的獨(dú)立因素。結(jié)論術(shù)前Hunt-Hess分級(jí)程度低,動(dòng)脈瘤形態(tài)規(guī)則、體積偏小,術(shù)中采用支架輔助彈簧圈栓塞或球囊輔助彈簧圈栓塞均有利于動(dòng)脈瘤的致密性栓塞,而患者動(dòng)脈瘤破裂則不利于形成致密栓塞。
[Abstract]:Objective to investigate the effect of endovascular embolization in elderly patients with intracranial aneurysms and the related factors affecting the therapeutic effect. Methods 112 elderly patients with intracranial aneurysms were treated by endovascular embolization. The effect of aneurysm embolization was evaluated by digital subtraction angiography (DSAs), and the clinical data of patients with different embolization effects were compared and analyzed. Logistic regression analysis was used to analyze the possible factors influencing the results of intracranial aneurysm embolization in elderly patients. The results of univariate analysis showed that there was no significant difference in sex, age, chronic history, smoking history and aneurysm site between dense embolization group and non-dense embolization group (P 0.05). The size, shape and rupture state of the aneurysms were observed in both groups. The type of operation and preoperative Hunt-Hess grade were significantly different (P 0.05). Multivariate Logistic regression analysis showed the ruptured state, shape and size of aneurysm. The type of operation and Hunt-Hess grade were independent factors affecting the embolization of intracranial aneurysms in the elderly. Conclusion the preoperative Hunt-Hess grade is low, the shape of aneurysms is regular, and the volume is small. Stent assisted coil embolization or balloon assisted coil embolization was beneficial to the dense embolization of aneurysms, while the rupture of aneurysms was not conducive to the formation of dense embolization.
【作者單位】： 許昌學(xué)院醫(yī)學(xué)院;
【基金】：河南省醫(yī)學(xué)教育研究課題(Wjlx2015193)
【分類號(hào)】：R651.12

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