摘要
目的观察颅内动脉瘤(AN)在不同时机下行介入栓塞术的疗效差异及预后影响因素。方法回顾性分析2010年2月—2013年2月行血管内介入栓塞术的60例AN患者的临床资料,根据接受介入栓塞治疗的不同时间分为早期组(26例)和延期组(34)例,比较2组患者治疗后的栓塞程度和并发症发生情况,并观察所有患者的短期预后及相关影响因素。结果早期组完全栓塞的例数显著高于延期组(P<0.05),大部分栓塞和部分栓塞则无显著差异(P>0.05);早期组并发症总发生率为7.69%,与延期组的总发生率20.59%比较无显著差异(P>0.05);出院时短期预后良好43例(71.67%),预后不良17例(28.33%);患者的性别、年龄、动脉瘤直径对短期预后无影响(P>0.05);高血压病史、是否多发性动脉瘤、Hunt-Hess分级及介入栓塞时机对预后有显著影响(P<0.05或P<0.01)。结论 AN患者在发病3 d内行介入栓塞术可以显著提高完全栓塞的比例,且不会增加并发症的发生,患者有高血压病史、多发动脉瘤及高Hunt-Hess分级等因素会显著影响AN的预后。
Objective To observe the efficacy differences and influencing factors of interventional embolisation at different times on patients with intracranial aneurysm（AN）. Methods The clinical data of 60 AN patients underwent interventional embolisation in our hospital from Feb. 2010 to Feb. 2013 were retrospectively analyzed and divided into early group（26 cases） and postponed group（34 cases） according to the interventional embolisation at different times. Embolism severity and complications were compared between two groups and the short-term outcomes and relevant influencing factors were observed. Results The number of complete embolism was larger in early group than that in postpone group（P〈0.05）, but there were no significant differences in major and partial embolisms（P 〉0. 0 5）. The total rate of complications in early group was7. 69%,but had no significant difference with the 20. 59% in postpone group（P〉0. 05）. 43 patients had well short-term outcomes and 17 with bad ones when discharg（P〉0. 05）. Genders,ages and AN diameter had no effect on the short-term outcomes,but the history of hypertension,multiple aneuryson, Hunt-Hess degrees and the times for interventional embolisation had significant association with the outcomes（P〉0. 05,P 0. 01）. Conclusion The interventional embolisation conducted within 3 d after AN onset can evidently improve the rate of complete embolism without increasing the rate of complications. Hypertension,multiple aneuryson and Hunt-Hess degrees are the risk factors that influence the outcomes of AN patients.
出处
《实用临床医药杂志》
CAS
2014年第16期81-84,共4页
Journal of Clinical Medicine in Practice
基金
中国高校医学期刊临床专项资金项目(11321562)
关键词
颅内动脉瘤
介入栓塞术
改良Rankin量表
并发症
intracranial aneurysm
interventional embolisation
modified Rankin table
complications
