血管内介入治疗颅内动脉瘤预后及影响因素调查分析  

Endovascular treatment of intracranial aneurysms and related factors on prognosis

作　　者：邓志刚[1] 何毅[1] 纪涛[1] 伍健明[1] 

机构地区：[1]广东深圳市第二人民医院神经外科,深圳518000

出　　处：《中国实用神经疾病杂志》2014年第9期46-47,共2页Chinese Journal of Practical Nervous Diseases

摘　　要：目的探讨血管内介入治疗颅内动脉瘤的预后及影响。方法选取2001—2012年入住我院行血管内介入治疗的300例颅内动脉瘤患者,对其临床资料进行回顾性分析,对血管内介入的不同手术时机及影响预后的相关因素进行探讨。结果超早期手术组和早期手术组手术后的动脉栓塞程度较间期手术组和延期手术组的栓塞程度明显增高(P<0.01);手术时机、动脉瘤是否为多发、有高血压史及Hunt-Hess分级与预后显著相关(P<0.01或P<0.05);Logistic回归分析显示高血压史及Hunt-Hess分级是影响血管内介入治疗颅动脉瘤预后的独立相关因素。结论高血压史以及Hunt-Hess分级是影响血管内介入治疗颅动脉瘤预后独立相关因素。Objective To investigate and analyze the prognosis and influencing factors of endovascular treatment for in-tracranial aneurysms. Methods The clinical data of 300 patients with intracranial aneurysms treated by endovascular interven-tion admitted to our hospital from 2001 to 2012 were retrospectively analyzed.The different time for endovascular surgery and influencing factors on prognosis were discussed. Results Arterial embolization extent of ultra-early surgery group and early surgery group was significantly higher than that of interval operation group and delayed operation group （P〈0.01）;time of op-eration ,aneurysm whether multiple ,whether there was history of hypertension and Hunt-Hess grade were significantly associated with prognosis （P〈0.01 or P〈0.05）;Logistic regression analysis showed that the history of hypertension and Hunt-Hess grade were independent factors influencing the prognosis of endovascular intervention for cranial aneurysms. Conclusion The history of hypertension and Hunt-Hess grade is independent factors influencing the prognosis of endovascular intervention for cranial aneurysms.

关 键 词：颅内动脉瘤 血管内介入治疗 预后 

分 类 号：R739.41[医药卫生—肿瘤]