中华神经外科杂志
中華神經外科雜誌
중화신경외과잡지
Chinese Journal of Neurosurgery
2015年
3期
254-258
,共5页
郑永涛%刘盈君%徐锋%徐强%冷冰
鄭永濤%劉盈君%徐鋒%徐彊%冷冰
정영도%류영군%서봉%서강%랭빙
动脉瘤%填塞率%体积%破裂%复发
動脈瘤%填塞率%體積%破裂%複髮
동맥류%전새솔%체적%파렬%복발
Aneurysm%Packing density%Volume%Rupture%Recurrence
目的 评估颅内动脉瘤体积、部位、是否破裂、辅助工具和填塞率的关系,进一步探讨填塞率对动脉瘤栓塞后复发的影响.方法 搜集自2009年12月至2011年11月之间的在华山医院神经外科行血管内栓塞治疗且得到随访的199例患者,共计221个颅内动脉瘤.将动脉瘤按照体积大小分为四组:＜ 65 mm3组(Ⅰ组),65～523 mm3组(Ⅱ组),524 ～1 726 mm3组(Ⅲ组),＞1 726 mm3组(Ⅳ组).所有患者根据随访时的影像学检查分为复发或者未复发.结果 不同体积组的颅内动脉瘤的填塞率差异有统计学意义(P＜0.05).破裂动脉瘤的填塞率低于未破裂动脉瘤填塞率,结果差异有统计学意义(20.7％ VS 24.5％,P=0.029).在Ⅰ组动脉瘤中,填塞率大于19％的动脉瘤未出现复发;在Ⅱ组动脉瘤中,填塞率大于24％的动脉瘤未出现复发.在Ⅲ组和Ⅳ组动脉瘤中,复发与未复发动脉瘤之间的填塞率差异无统计学意义.结论 动脉瘤体积和破裂状态可以影响动脉瘤的填塞率,而一定高的填塞率可以减少动脉瘤栓塞后复发的可能.
目的 評估顱內動脈瘤體積、部位、是否破裂、輔助工具和填塞率的關繫,進一步探討填塞率對動脈瘤栓塞後複髮的影響.方法 搜集自2009年12月至2011年11月之間的在華山醫院神經外科行血管內栓塞治療且得到隨訪的199例患者,共計221箇顱內動脈瘤.將動脈瘤按照體積大小分為四組:＜ 65 mm3組(Ⅰ組),65～523 mm3組(Ⅱ組),524 ～1 726 mm3組(Ⅲ組),＞1 726 mm3組(Ⅳ組).所有患者根據隨訪時的影像學檢查分為複髮或者未複髮.結果 不同體積組的顱內動脈瘤的填塞率差異有統計學意義(P＜0.05).破裂動脈瘤的填塞率低于未破裂動脈瘤填塞率,結果差異有統計學意義(20.7％ VS 24.5％,P=0.029).在Ⅰ組動脈瘤中,填塞率大于19％的動脈瘤未齣現複髮;在Ⅱ組動脈瘤中,填塞率大于24％的動脈瘤未齣現複髮.在Ⅲ組和Ⅳ組動脈瘤中,複髮與未複髮動脈瘤之間的填塞率差異無統計學意義.結論 動脈瘤體積和破裂狀態可以影響動脈瘤的填塞率,而一定高的填塞率可以減少動脈瘤栓塞後複髮的可能.
목적 평고로내동맥류체적、부위、시부파렬、보조공구화전새솔적관계,진일보탐토전새솔대동맥류전새후복발적영향.방법 수집자2009년12월지2011년11월지간적재화산의원신경외과행혈관내전새치료차득도수방적199례환자,공계221개로내동맥류.장동맥류안조체적대소분위사조:＜ 65 mm3조(Ⅰ조),65～523 mm3조(Ⅱ조),524 ～1 726 mm3조(Ⅲ조),＞1 726 mm3조(Ⅳ조).소유환자근거수방시적영상학검사분위복발혹자미복발.결과 불동체적조적로내동맥류적전새솔차이유통계학의의(P＜0.05).파렬동맥류적전새솔저우미파렬동맥류전새솔,결과차이유통계학의의(20.7％ VS 24.5％,P=0.029).재Ⅰ조동맥류중,전새솔대우19％적동맥류미출현복발;재Ⅱ조동맥류중,전새솔대우24％적동맥류미출현복발.재Ⅲ조화Ⅳ조동맥류중,복발여미복발동맥류지간적전새솔차이무통계학의의.결론 동맥류체적화파렬상태가이영향동맥류적전새솔,이일정고적전새솔가이감소동맥류전새후복발적가능.
Objective To assess the relation between aneurysm volume,location,rupture statue,stent and packing density in cerebral aneurysms treated with coils.Methods Two hundred and twentyone aneurysms in 199 patients were treated with coils in Huashan hospital between December 2009 and November 2011.Those intracranial aneurysm could be graded according to volume into Group Ⅰ with a volume smaller than 65mm3,Group Ⅱ between 65mm3 to 523mm3,Group Ⅲ between 523mm3 to 1726mm3,Group Ⅳ smaller than 1726mm3.The results of angiography at follow-up were dichotomized into presence or absence of recurrence.Results Large aneurysm volume was associated with low packing and frequent compaction (P ＜ 0.05).Ruptured aneurysms had a significant lower packing density than unruptured aneurysms (20.7％ VS 24.5％,P =0.029).If the aneurysm volume was packed for 24％ or more with coils,compaction did not occur in aneurysms with a volume of less than 523 mm3.In small aneurysms with volumes of less than 65 mm3,compaction did not occur when packing was above 19％.Conclusions Aneurysm volume and rupture statue could influence the packing density.An effective packing density was sensible in trying to avoid aneurysm recurrence after endovascular coil embolization.
