摘要
目的探讨眼动脉段动脉瘤(OA)夹闭术后视力下降的危险因素。方法回顾性分析开颅夹闭术治疗OA病人62例的临床资料。单因素方差分析动脉瘤形态、病人的临床特征与视力下降的关系,多因素Logistic回归分析与眼动脉瘤视力下降的危险因素。结果 62例OA病人中4例术后视力下降,其中3例为瘤体直径≥25 mm的OA病人。以术后视力下降作为因变量、将单因素分析后P<0.1的因素作为自变量,通过后退法进行多因素Logistic回归分析,结果显示动脉瘤直径≥25 mm为OA病人夹闭术后视力下降的独立危险因素(OR=14.642,95%CI=1.995~53.124,P<0.05)。结论 瘤体直径是OA夹闭术后视力下降的危险因素。
ObjectiveTo investigate the risk factors for impaired vision after clipping of ophthalmic artery aneurysm.MethodsA retrospective analysis was performed for the clinical data of 62 patients with ophthalmic artery aneurysm who underwent craniotomy and clipping.A one-way analysis of variance was used to investigate the association of aneurysm morphology and clinical features with impaired vision,and a multivariate Logistic regression analysis was used to analyze the risk factors for impaired vision in patients with ophthalmic artery aneurysm.ResultsAmong the 62 patients with ophthalmic artery aneurysm,4 expe-rienced impaired vision after surgery,among whom 3 had a diameter of aneurysm of≥25 mm.The backward multivariate regression analysis was performed with impaired vision after surgery as the dependent variable and the factors with P<0.1 determined by the univariate analysis as the independent variables,and the results showed that diameter of aneurysm≥25 mm(OR=14.642,95%CI=1.995-53.124,P<0.05)was an independent risk factor for impaired vision after clipping in patients with ophthalmic artery aneurysm.ConclusionDiameter of aneurysm is a risk factor for impaired vision after clipping of ophthalmic artery aneurysm.
作者
卢冬林
熊静
刘恒健
陈百强
周汉
丰育功
LU Donglin;XIONG Jing;LIU Hengjian;CHEN Baiqiang;ZHOU Han;FENG Yugong(Department of Neurosurgery,The Affiliated Hospital of Qingdao University,Qingdao 266003,China)
出处
《青岛大学学报（医学版）》
CAS
2020年第6期649-652,共4页
Journal of Qingdao University(Medical Sciences)
基金
国家自然科学基金资助项目(81870914)。
关键词
颅内动脉瘤
眼动脉段动脉瘤
开颅夹闭术
视力下降
危险因素
intracranial aneurysm
ophthalmic segment aneurysm
neurosurgical clipping
hypopsia
risk factors
