中华神经医学杂志
中華神經醫學雜誌
중화신경의학잡지
CHINESE JOURNAL OF NEUROMEDICINE
2014年
10期
1014-1017
,共4页
郭炜%何旭英%李西锋%钱东翔%严建泉%卜德林%段传志
郭煒%何旭英%李西鋒%錢東翔%嚴建泉%蔔德林%段傳誌
곽위%하욱영%리서봉%전동상%엄건천%복덕림%단전지
颅内微小动脉瘤%形态学%血管结构
顱內微小動脈瘤%形態學%血管結構
로내미소동맥류%형태학%혈관결구
Intracranial tiny aneurysm%Morphology%Haemodynamics
目的 探讨患者性别、年龄、是否合并高血压、瘤体发生部位与颅内微小动脉瘤形态的关系.方法 回顾性分析南方医科大学珠江医院神经外科自2009年1月至2012年12月收治的112例破裂的单发微小动脉瘤患者的临床资料,按动脉瘤的形态为形态规则组(56例)和形态不规则组(56例),探讨影响颅内微小动脉瘤形态的相关因素.结果 性别、年龄、是否合并高血压不是微小动脉瘤形态的独立影响因素,瘤体发生部位是微小动脉瘤形态的独立影响因素(P=0.005).以前交通动脉为参照,椎基底动脉和颈内动脉易形成规则的动脉瘤,大脑前动脉、后交通动脉及大脑中动脉微小动脉瘤形态与前交通动脉无差异,易不规则.结论 颅内微小动脉瘤的形态与发生部位有关,椎基底动脉和颈内动脉易形成规则的微小动脉瘤.
目的 探討患者性彆、年齡、是否閤併高血壓、瘤體髮生部位與顱內微小動脈瘤形態的關繫.方法 迴顧性分析南方醫科大學珠江醫院神經外科自2009年1月至2012年12月收治的112例破裂的單髮微小動脈瘤患者的臨床資料,按動脈瘤的形態為形態規則組(56例)和形態不規則組(56例),探討影響顱內微小動脈瘤形態的相關因素.結果 性彆、年齡、是否閤併高血壓不是微小動脈瘤形態的獨立影響因素,瘤體髮生部位是微小動脈瘤形態的獨立影響因素(P=0.005).以前交通動脈為參照,椎基底動脈和頸內動脈易形成規則的動脈瘤,大腦前動脈、後交通動脈及大腦中動脈微小動脈瘤形態與前交通動脈無差異,易不規則.結論 顱內微小動脈瘤的形態與髮生部位有關,椎基底動脈和頸內動脈易形成規則的微小動脈瘤.
목적 탐토환자성별、년령、시부합병고혈압、류체발생부위여로내미소동맥류형태적관계.방법 회고성분석남방의과대학주강의원신경외과자2009년1월지2012년12월수치적112례파렬적단발미소동맥류환자적림상자료,안동맥류적형태위형태규칙조(56례)화형태불규칙조(56례),탐토영향로내미소동맥류형태적상관인소.결과 성별、년령、시부합병고혈압불시미소동맥류형태적독립영향인소,류체발생부위시미소동맥류형태적독립영향인소(P=0.005).이전교통동맥위삼조,추기저동맥화경내동맥역형성규칙적동맥류,대뇌전동맥、후교통동맥급대뇌중동맥미소동맥류형태여전교통동맥무차이,역불규칙.결론 로내미소동맥류적형태여발생부위유관,추기저동맥화경내동맥역형성규칙적미소동맥류.
Objective To explore the relations of morphologies of intracranial tiny aneurysms with gender,age,hypertension and aneurysm lesions of the patients.Methods A retrospective analysis of clinical data of 112 patients with intracranial tiny aneurysms,admitted to our hospital from January 2009 to December 2012,was performed; according to the aneurysm morphologies,these patients were divided into regular-shape and irregular-shape groups (n=56).The influences of age,gender,hypertension and aneurysm lesions of the patients in aneurysm morphologies were analyzed.Results Gender,age and hypertension were not the independent influence factors of aneurysm morphologies,while aneurysm lesions could significantly affect the aneurysm morphologies,being the independent influence factor of aneurysm morphologies (P=0.005).In the comparison of different distributions of tiny aneurysms,the intemal carotid artery and vertebral basilar artery had less irregular aneurysms than anterior communicating artery; the morphologies of small aneurysms in the anterior cerebral artery,posterior communicating artery and middle cerebral artery showed no significant differences as compared with those in the anterior communicating artery,which tended to having irregular shapes.Conclusion The aneurysm lesions are related to the aneurysm morphologies; anterior communicating artery is prone to having irregular-shape aneurysms.
