弹簧圈栓塞治疗颅内动脉瘤107例临床分析

弹簧圈栓塞治疗颅内动脉瘤107例临床分析

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时间:2019-10-17

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1、弹簧圈栓塞治疗颅内动脉瘤107例临床分析【摘要】丨1的探讨颅内动脉瘤的临床特点,以及影响动脉瘤致密栓塞的相关临床因素。方法对107例破裂动脉瘤采取弹簧圈栓塞治疗,DSA随访78例。分析破裂动脉瘤临床特点,对影响动脉瘤致密栓塞临床]大I素进行单因素x2检验及Logistic冋归分析。结果完全栓塞89例(83.2%),>90%栓塞12例(11.2%),<90%栓塞6例(5.6%)。随访78例动脉瘤,致密填塞的61例弹簧圈均稳定,部分填塞的17例:7例稳定,4例缩小;6例扩大,再次栓塞。无再出血。死亡1例(0.93%),重残2例(1.9%),轻度神经功能缺

2、失症状3例(2.8%)o动脉瘤部位与性别关系经过线性相关性分析,P=0.103,>0.05o影响动脉瘤致密栓塞凶索的Logistic回归分析显示:动脉瘤部位、形态、Fisher分级、血管痉挛情况对决定能否致密栓塞的OR值分别为0.392(P二0.005)、0.310(P=0.030)>0.501(P=0.039)>0.566(P=0.095)o结论弹簧圈栓塞颅内动脉瘤的关键是致密栓塞;动脉瘤部位、形态、Fisher分级、脑血管痉挛评分与动脉瘤致密栓塞与否相关,评分越低,致密栓塞的概率越大。【关键词】颅内动脉瘤;弹簧圈;栓塞:Logistic冋归Cli

3、nicalanalysisof107casesintracranialaneurysmstreatedbyendovascularcoilocclusionWEIJianjun,QIUShengli,ZHANGYang^etal.DepartmentofNeurosurgery,AnhuiProvincialHospitalAffiliatedtoAnhuiMedicalUniversity,Hefei230001,ChinaAbstract:ObjectiveToexploretheclinicalfeatureandfactorsofcontri

4、butiontocompleteobliterationofintracranialaneurysm・Methods107casesofrupturedaneurysmwereembolismedbycoilsand78caseswerefollowupbyDSA.TheclinicalfeatureofrupturedaneurysmandthefactorsofcompleteobliterationwereanalysedbyLogisticregression.ResultsCompleteobliterationwerein89cases(

5、83.2%),>90%obliterationswerein12cases(11.2%)and<90%obliterationswerein6cases(5.6%).Among78casesoffollowup,therewere61casesachivingdensityobliterationandthecoilsappearingsteady.Onthecontrary,therewere17casesachivingpartialobliteration,inwhichthecoilsweresteadyincases,shrunkin4,e

6、nlargedin6,andthelatterweretreatedbyembolismagain.Allcaseswithoutnewlyhemorrhage.1casedead(0・93%),2caseswithseriousdeformity(1.9%),3casesgentlyneuroafunctional(2.8%).Thefactorsofcontributiontoaneurysmcompleteobliterationwasstatisticalanalysisedbyχ2andLogisticregression.TheO

7、Rvalueofaneurysmregion>shape>Fishergrade>CVSwas0.392(P=0.005)>0.310(P=0.030)、0.501(P=0.039)、0.566(P=0.095)repectively.ConclusionsCompleteobliterationisthekeytotreatintracranialaneurysm.Thelowerthescoresofaneurysmregion>shapeFishergradeCVS,thehigertheprobabilityofcompleteobliter

8、ationishighe匚Keywords:intracranialaneurysm;coil;logist

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