中国医师进修杂志
中國醫師進脩雜誌
중국의사진수잡지
CHINESE JOURNAL OF POSTGRADUATES OF MEDICINE
2012年
20期
19-21
,共3页
王俊%张焱%宗惠花%李巧玉
王俊%張焱%宗惠花%李巧玉
왕준%장염%종혜화%리교옥
颅内动脉瘤%栓塞,治疗性%栓塞体积比
顱內動脈瘤%栓塞,治療性%栓塞體積比
로내동맥류%전새,치료성%전새체적비
Intracranial aneurysm%Embolization,therapeutic%Volume embolization ratio
目的 探讨栓塞体积比(VER)在评价动脉瘤栓塞疗效中的作用.方法 选取行颅内动脉瘤栓塞手术治疗的53例患者,均应用可脱性弹簧圈血管内栓塞治疗,共栓塞动脉瘤57个.计算动脉瘤的VER,分析VER与动脉瘤大小、瘤颈及栓塞程度之间的关系.结果 小、中、大及巨大动脉瘤的VER分别为(40.8±26.5)%、(18.6±16.1)%、(2.3±2.1)%、(0.4±0.1)%,差异有统计学意义(F=7.091,P< 0.01).宽颈及窄颈动脉瘤的VER分别为(27.5±23.1)%、(29.4±26.6)%,差异无统计学意义(P>0.05).完全栓塞、不完全栓塞及部分栓塞的VER分别为(41.8±29.3)%、(31.4±21.2)%、( 12.3±15.1)%,差异有统计学意义(F=7.970,P< 0.01).结论 VER是评价动脉瘤栓塞程度的客观指标,对于判断动脉瘤栓塞效果具有一定的预测意义.
目的 探討栓塞體積比(VER)在評價動脈瘤栓塞療效中的作用.方法 選取行顱內動脈瘤栓塞手術治療的53例患者,均應用可脫性彈簧圈血管內栓塞治療,共栓塞動脈瘤57箇.計算動脈瘤的VER,分析VER與動脈瘤大小、瘤頸及栓塞程度之間的關繫.結果 小、中、大及巨大動脈瘤的VER分彆為(40.8±26.5)%、(18.6±16.1)%、(2.3±2.1)%、(0.4±0.1)%,差異有統計學意義(F=7.091,P< 0.01).寬頸及窄頸動脈瘤的VER分彆為(27.5±23.1)%、(29.4±26.6)%,差異無統計學意義(P>0.05).完全栓塞、不完全栓塞及部分栓塞的VER分彆為(41.8±29.3)%、(31.4±21.2)%、( 12.3±15.1)%,差異有統計學意義(F=7.970,P< 0.01).結論 VER是評價動脈瘤栓塞程度的客觀指標,對于判斷動脈瘤栓塞效果具有一定的預測意義.
목적 탐토전새체적비(VER)재평개동맥류전새료효중적작용.방법 선취행로내동맥류전새수술치료적53례환자,균응용가탈성탄황권혈관내전새치료,공전새동맥류57개.계산동맥류적VER,분석VER여동맥류대소、류경급전새정도지간적관계.결과 소、중、대급거대동맥류적VER분별위(40.8±26.5)%、(18.6±16.1)%、(2.3±2.1)%、(0.4±0.1)%,차이유통계학의의(F=7.091,P< 0.01).관경급착경동맥류적VER분별위(27.5±23.1)%、(29.4±26.6)%,차이무통계학의의(P>0.05).완전전새、불완전전새급부분전새적VER분별위(41.8±29.3)%、(31.4±21.2)%、( 12.3±15.1)%,차이유통계학의의(F=7.970,P< 0.01).결론 VER시평개동맥류전새정도적객관지표,대우판단동맥류전새효과구유일정적예측의의.
Objective To investigate the effect of volume embolization ratio (VER) in evaluating the embolization efficacy of aneurysms.Methods Fifty-three patients who received intracranial aneurysm embolization surgery were all treated with detachable coils endovascular embolization,While fifty-seven intracranial aneurysms were treated.The VER was calculated and the relationships between the VER values and the size,the neck,embolization degree of intracranial aneurysm were analyzed.Results The VER of small,medium,large,and giant aneurysms were (40.8 ± 26.5 )%,( 18.6 ± 16.1 )%,(2.3 ± 2.1 )%,(0.4 ±0.1 )%,respectively,which had statistical significance (F =7.091,P < 0.01 ).The VER of wide-necked and narrow-necked aneurysms were (27.5 ± 23.1 )%,(29.4 ± 26.6)%,which had no statistical significance(P >0.05 ).The VER of complete embolization,neck residual and partial embolization were (41.8 ± 29.3 )%,(31.4 ± 21.2)%,( 12.3 ± 15.1 )%,respectively,which had statistical differences (F =7.970,P < 0.01 ).Conclusions The VER is an objective index to evaluate the embolization degree of aneurysms.It has certain prediction significance for the efficacy judgement of embolization of aneurysms.