CAJ | 학술논문

【目的】探讨破裂颅内动脉瘤术后迟发症状性脑血管痉挛的危险因素。【方法】回顾性分析本院2012年9月至2013年10月51例前循环破裂颅内动脉瘤开颅夹闭术患者的临床资料，采用非条件多因素Logistic回归分析夹闭术后迟发症状性脑血管痉挛的危险因素。【结果】患者年龄，Hunt-Hess分级，术中动脉瘤破裂，脑肿胀，慢性贫血，手术时间是其可能的危险因素，术中发现责任血管痉挛是独立危险因素。【结论】提高手术技巧，术中积极降低脑血管痉挛因素，是减少症状性脑血管痉挛的重要措施。
【목적】탐토파렬로내동맥류술후지발증상성뇌혈관경련적위험인소。【방법】회고성분석본원2012년9월지2013년10월51례전순배파렬로내동맥류개로협폐술환자적림상자료，채용비조건다인소Logistic회귀분석협폐술후지발증상성뇌혈관경련적위험인소。【결과】환자년령，Hunt-Hess분급，술중동맥류파렬，뇌종창，만성빈혈，수술시간시기가능적위험인소，술중발현책임혈관경련시독립위험인소。【결론】제고수술기교，술중적겁강저뇌혈관경련인소，시감소증상성뇌혈관경련적중요조시。
Objective To explore the risk factors of the Late symptomatic cerebral vasospasm (LSCVS) after the surgery of ruptured intracranial aneurysm .[Methods]Clinical data of 51 patients undergoing craniot-omy clipping of ruptured anterior circulation intracranial aneurysms in our hospital from Sept .2012 to Oct . 2013 were analyzed retrospectively .The risk factors of LSCVS were analyzed by using non-conditional logistic regression method .[Results] The patients'age ,Hunt-Hess grade ,intraoperative aneurysm rupture ,brain swelling ,chronic anemia and operation time were the possible risk factors .Intraoperative responsibility vaso-spasm was an independent risk factor .[Conclusion] Improving surgical skills and actively reducing the risk factors of cerebral vasospasm during the operation are the important measures to decrease the occurrence of LSCVS .