CAJ | 학술논문

目的探索与血流动力性动脉瘤有统计学相关性的脑动静脉畸形(AVM)特征性因素.方法对1999年8月至2009年7月363例AVM患者的资料进行回顾性统计分析;其中男性229例,女性137例,年龄5～65岁,平均(28±13)岁.采用SPSS 16.0统计软件对AVM的13个特征性因素与合并血流动力性动脉瘤之间进行单因素与多因素的相关性分析,对筛选出的因素进行评估.结果单因素分析表明:与血流动力性动脉瘤存在统计学相关性的因素为发病年龄、部位(幕上、幕下)、AVM的大小、主干供血动脉根数、引流静脉根数、引流静脉扩张、对侧供血、前后循环同时供血.多因素分析表明:发病年龄、主干供血动脉根数、对侧供血与血流动力性动脉瘤存在统计学意义的正相关性,引流静脉根数与血流动力性动脉瘤存在统计学意义的负相关性.结论与血流动力性动脉瘤相关的AVM特征性因素为发病年龄、主干供血动脉根数、引流静脉根数、对侧供血.
목적 탐색여혈류동력성동맥류유통계학상관성적뇌동정맥기형(AVM)특정성인소.방법 대1999년8월지2009년7월363례AVM환자적자료진행회고성통계분석;기중남성229례,녀성137례,년령5～65세,평균(28±13)세.채용SPSS 16.0통계연건대AVM적13개특정성인소여합병혈류동력성동맥류지간진행단인소여다인소적상관성분석,대사선출적인소진행평고.결과 단인소분석표명:여혈류동력성동맥류존재통계학상관성적인소위발병년령、부위(막상、막하)、AVM적대소、주간공혈동맥근수、인류정맥근수、인류정맥확장、대측공혈、전후순배동시공혈.다인소분석표명:발병년령、주간공혈동맥근수、대측공혈여혈류동력성동맥류존재통계학의의적정상관성,인류정맥근수여혈류동력성동맥류존재통계학의의적부상관성.결론 여혈류동력성동맥류상관적AVM특정성인소위발병년령、주간공혈동맥근수、인류정맥근수、대측공혈.
Objective To explore the characteristic factors of arteriovenous malformation (AVM) which have statistically significant correlation with hemodynamic aneurysms. Methods From August 1999 to July 2009, the clinical and imaging indices of 363 consecutive patients with AVM were retrospectively reviewed and entirely statistically analyzed. There were 229 male patients and 137 female patients,the mean age at the time of presentation was 28 ± 13 years. By using SPSS 16. 0 medical statistic software, the correlation were analyzed between hemodynamic aneurysms and 13 characteristic factors associated with AVM through the methods of unit-factor and multi-factor analysis. Finally, the risk of the correlative factors filtrated were evaluated. Results The crosstabs analysis of unit-factor strongly suggested that the following factors,including age, location (supertentorium, subtentorium), size, number of main feeding arteries, number of drainage veins, ectasis of drainage veins, contralateral supply, and supply by both anterior and posterior circulation, were correlated with hemodynamic aneurysms. And the results of regression analysis of multifactors indicated the following factors, including age, number of main feeding arteries, and contralateral supply, were positively correlated with hemodynamic aneurysms and the number of drainage veins were negatively correlated with hemodynamic aneurysms. Conclusion The factors including age, number of main feeding arteries, number of drainage veins and contralateral supply, are highly correlated with hemodynamic aneurysms.