硬脑膜动静脉瘘并颅内出血的临床多因素分析  

Multiple factors related with intracranial hemorrhage of dural arteriovenous fistula：clinical analysis

作　　者：刘爱华[1] 彭汤明[1] 贾建文[1] 杨新健[1] 姜除寒[1] 钱增辉[1] 吴京[1] 吴中学[1] 李佑祥[1] 

机构地区：[1]首都医科大学附属北京天坛医院北京市神经外科研究所 ,100050

出　　处：《中华医学杂志》2013年第15期1156-1158,共3页National Medical Journal of China

基　　金：基金项目：国家自然科学基金（30901557,2060140,81220108007）;北京市高层次人才培养计划（2011.3-036）;北京科技新星培养计划（2007-A-043）;首都医学发展科研基金（20094067）

摘　　要：目的探讨硬脑膜动静脉瘘（DAVF）颅内出血的相关影响因素。方法回顾性分析北京天坛医院1996至2006年144例DAVF住院病人的性别、年龄、瘘口流速、血供来源、病变部位以及静脉引流方式对颅内出血的影响。结果DAVF颅内出血的单因素分析提示性别、病变部位、静脉引流方式对颅内出血的发生差异有统计学意义（P〈0．05）；DAVF颅内出血的Logistic回归分析提示静脉引流方式对颅内出血的发生差异有统计学意义（P〈0．05）。结论静脉引流方式是DAVF颅内出血风险最重要的影响因素，性别和病变部位对评估DAVF颅内出血风险有一定的意义。Objective To discuss the relevant predicative factors of dural arteriovenous fistula （dAVF） in intraeranial hemorrhage. Methods A total of 144 consecutive patients with dAVFs were recruited for a retrospective analysis from 1996 to 2006. The relevant factors of gender, age, fistula flow rate, arterial supply, lesion and venous drainage pattern were analyzed to evaluate the outcome of intracranial hemorrhage. Results Univariate analysis showed that gender, lesion and venous drainage pattern were statistical significant for intracranial hemorrhage of DAVF （ P 〈 0. 05 ） . However, only venous drainage pattern was significant in the predication of intracranial hemorrhage （ P 〈 0. 05 ）. Conclusion Only venous drainage pattern is significant in the predication of dural arteriovenous fistulas in iutracranial hemorrhage. Both gender and lesion may be confounding factors.

关 键 词：动静脉瘘 危险因素 颅内出血 

分 类 号：R74[医药卫生—神经病学与精神病学]