动脉瘤蛛网膜下腔出血的CT分型与栓塞术预后的相关性  

Correlation between CT Classification of Aneurysm Subarachnoid Hemorrhage and Prognosis after Embolization

作　　者：崔传举[1] 燕燕[1] 王玉香[1] 李彦玲[1] 李艾帆[1] CUI Chuanju;YAN Yan;WANG Yuxiang;LI Yanling;LI Aifan(Department of Neurology, Zhengzhou First People’s Hospital, ZhengZhou Henan 450000, China)

机构地区：[1]郑州市第一人民医院神经内科,郑州450000

出　　处：《河南医学高等专科学校学报》2020年第3期247-250,共4页Journal of Henan Medical College

摘　　要：目的探讨动脉瘤蛛网膜下腔出血(aneurysm subarachnoid hemorrhage,ASAH)患者不同CT分型与动脉瘤栓塞术后的相关性。方法回顾性分析80例行血管内介入栓塞术的ASAH患者,比较ASAH患者不同CT分型的Hunt-Hess分级情况,统计ASAH患者不同CT分型情况、ASAH患者不同CT分型预后评分、ASAH患者不同CT分型术后C反应蛋白(C-reactive protein,CRP)水平。结果ASAH患者Ⅰ型共49例,占61.25%,其中Ⅰa型13例,Ⅰb型12例,Ⅰc型24例;Ⅱ型共31例,占38.75%,Ⅱa 16例,Ⅱb 15例;ASAH患者不同CT分型与术前Hunt-Hess分级比较,差异有统计学意义(P<0.05);ASAH患者预后良好51例,占63.75%,预后不良29例,占26.25%;ASAH患者不同CT分型手术预后评分比较,差异有统计学意义(P<0.05);Ⅰ型ASAH患者在术后1、3、7、14 d的CRP水平均低于Ⅱ型ASAH患者,差异有统计学意义(P<0.05)。结论ASAH患者的不同CT分型与栓塞术后预后评估指标有较好相关性,对临床ASAH患者病情及预后判断具有指导意义。Objective To investigate the correlation between different CT classification and aneurysm embolization in patients with aneurysm subarachnoid hemorrhage(ASAH).Methods 80 ASAH patients undergoing endovascular interventional embolization were retrospectively analyzed.The Hunt-Hess grades of different CT types were compared,and the different CT types,the prognosis scores and the postoperative C-reactive protein(CRP)levels were calculated.Results ASAH TypeⅠ,a total of 49 cases,accounts for 61.25%,including TypeⅠa,13 cases,TypeⅠb,12 cases,TypeⅠc,24 cases.ASAH TypeⅡ,a total of 31 cases,accounts for 38.75%,including TypeⅡa,16 cases,TypeⅡb,15 cases.There was a statistically significant difference between different CT classifications of ASAH patients and preoperative Hunt-Hess grades(P<0.05).There were 51 patients with good prognosis,accounting for 63.75%,and 29 patients with poor prognosis,accounting for 26.25%.The comparison of the prognosis scores of ASAH patients with different CT types showed statistically significant difference(P<0.05).The postoperative CRP levels 1,3,7,14 d in TypeⅠASAH patients in are lower than those in TypeⅡASAH patients,and the difference was statistically significant(P<0.05).Conclusion There is a good correlation between different CT types of ASAH patients and the prognostic assessment indexes after embolization,which is of guiding significance to the diagnosis and prognosis of clinical ASAH patients.

关 键 词：动脉瘤 蛛网膜下腔出血 CT分型 动脉瘤栓塞术预后 

分 类 号：R743.35[医药卫生—神经病学与精神病学] R816.1[医药卫生—临床医学]