影响前循环动脉瘤手术预后的部分相关因素分析

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1、断的患者预后上的差异无统计学意义(P>O．05)。再对不同Fisher分级和不同Hunt．Hess分级患者进行多因素Logistic回归分析，结果表明：Fisher分级和Hunt-Hess分级均为影响患者近期预后的独立危险因素。将Fisher分级中1．3级和4级之间进行回归分析，结果显示4级患者预后不良的机率是1．3级的6．874倍。将Hunt．Hess分级中I．111级和Ⅳ．V级之间进行回归分析，结果显示Ⅳ．V级患者预后不良的机率是I．ⅡI级患者的6．451倍。2．同期分别行开颅夹闭治疗和介入栓塞治疗的前循环

2、动脉瘤患者预后之间进行f检验，结果表明：不同治疗方式下患者近期预后上的差异无统计学意义(P>O．05)。两组患者的医疗费用之间进行独立样本t检验，结果表明：两组医疗费用上的差异有统计学意义(P

3、达到很高的预后良好率，但是开颅夹闭治疗的费用明显低于介入栓塞治疗。关键词t前循环动脉瘤显微手术夹闭随访手术预后医疗费用n一ObjectiveTostudysomerelatedfactorsinfluencingthesurgicaloutcomeofanteriorcirculationaneurysms，wehopetoreducethesefactorswhichleadtopooroutcomeandmakecorrespondingsurgicaltreatmentbasedonpatient’Sco

4、nditionandeconomicability,improvetheoutcomeofaneurysrnalpatients．Methods1．Retrospectivestudytheclinicaldataof12caseswithintracranialanteriorcirculationaneurysmsfromJanuary1，2008toDecember31，2010，112patientswhounderwentclippinganeurysminthe14thneurosurgicalde

5、partmentinTianjinHuanhuHospital．132aneurysmalpatientsunderwentcraniotomysurgicaltreatmentinthreeyearsinOUrdepartment，wefollowedup12patientswithanteriorcirculationaneurysmsfor6—12monthsafterdischargefromhospitalandmeasuredsurgicaloutcomebyGlasgowOutcomeScale．

6、112patientscouldnotundergocoilingbecauseofvariousreasons，SOchoseclippingtreament，twoexperienceddoctorSperformedoperation．Wcanalyzed12factorssuchas"age，hypertension，smoking,characteristicsofaneurysms(quantity,locationandsize)，Fishergrade，Hunt—Hessgrade，intrao

7、perativeventricularpuncture，intraoperativeancurysmrupture，intraoperativeparentarteryocclusionandthetimingofoperation，．．andanalyzedtheinfluenceofvariousfactorsontheoutcomebymeansofunivariableanalysisandmultivariableLogisticregressionanalysiswithSPSS17．0．Meanw

8、hile,6factorswhichmayinfluencesurgicaloutcomebutnowcannotusestatisticalanalysiswerediscussedinthisdissertation．2．70patientsunderwentclippingwhocouldnotaffordinterventionembolismexpensebecauseofp