中外医疗
中外醫療
중외의료
CHINA FOREIGN MEDICAL TREATMENT
2015年
8期
62-63
,共2页
颅内动脉瘤%血管内治疗%介入治疗%疗效%影响因素
顱內動脈瘤%血管內治療%介入治療%療效%影響因素
로내동맥류%혈관내치료%개입치료%료효%영향인소
Intracranial aneurysms%Endovascular therapy%Interventional therapy%Curative effect%Influencing factors
目的：分析颅内动脉瘤血管内治疗有效性、安全性、适应性。方法以神经外科收治并采用血管内介入技术治疗动脉瘤患者为研究对象，调取病历资料进行分析。结果共纳入患者344例，年龄19～89岁，部分有高血压、糖尿病等合并症；Hunt-Hess分级：0级55例，Ⅳ-Ⅴ级28例；动脉瘤大小2~29 cm；致密栓塞170例、部分栓塞72例；动脉瘤破裂11例，术中血栓形成20例，器械所致不良事件12例；短期死亡率4.94%，0~2分76.45%；随访时间1个月~3年，随访时间≥5个月者288例，其中稳定212例，随访时间≥12个月者241例，预后不佳15例，死亡6例；预后不佳与死亡患者Hunt-Hess等级、瘤体大小与预后较好患者差异有统计学意义（P＜0.05）。结论血管内治疗适用于各年龄段、绝大多数颅内动脉瘤患者治疗，短期预后、长远预后均较好，死亡患者多为病情较重、出现破裂者。
目的：分析顱內動脈瘤血管內治療有效性、安全性、適應性。方法以神經外科收治併採用血管內介入技術治療動脈瘤患者為研究對象，調取病歷資料進行分析。結果共納入患者344例，年齡19～89歲，部分有高血壓、糖尿病等閤併癥；Hunt-Hess分級：0級55例，Ⅳ-Ⅴ級28例；動脈瘤大小2~29 cm；緻密栓塞170例、部分栓塞72例；動脈瘤破裂11例，術中血栓形成20例，器械所緻不良事件12例；短期死亡率4.94%，0~2分76.45%；隨訪時間1箇月~3年，隨訪時間≥5箇月者288例，其中穩定212例，隨訪時間≥12箇月者241例，預後不佳15例，死亡6例；預後不佳與死亡患者Hunt-Hess等級、瘤體大小與預後較好患者差異有統計學意義（P＜0.05）。結論血管內治療適用于各年齡段、絕大多數顱內動脈瘤患者治療，短期預後、長遠預後均較好，死亡患者多為病情較重、齣現破裂者。
목적：분석로내동맥류혈관내치료유효성、안전성、괄응성。방법이신경외과수치병채용혈관내개입기술치료동맥류환자위연구대상，조취병력자료진행분석。결과공납입환자344례，년령19～89세，부분유고혈압、당뇨병등합병증；Hunt-Hess분급：0급55례，Ⅳ-Ⅴ급28례；동맥류대소2~29 cm；치밀전새170례、부분전새72례；동맥류파렬11례，술중혈전형성20례，기계소치불량사건12례；단기사망솔4.94%，0~2분76.45%；수방시간1개월~3년，수방시간≥5개월자288례，기중은정212례，수방시간≥12개월자241례，예후불가15례，사망6례；예후불가여사망환자Hunt-Hess등급、류체대소여예후교호환자차이유통계학의의（P＜0.05）。결론혈관내치료괄용우각년령단、절대다수로내동맥류환자치료，단기예후、장원예후균교호，사망환자다위병정교중、출현파렬자。
Objective to analyze the intracranial aneurysm endovascular treatment effectiveness,safety,adaptability. Methods to Department of neurosurgery by endovascular treatment of intracranial aneurysms in patients with technology as the research object, obtaining medical records,analysis. Results of 344 patients enrolled,aged 19 to 89 years old,some have high blood pressure,dia-betes complications; Hunt-Hess grading:grade 0 in 55 cases,28 cases of grade IV-V;aneurysm size 2~29 cm;72 cases of partial embolization in 170 cases, dense embolization;11 cases of rupture of aneurysm,20 cases of formation thrombosis during operation, 12 cases of equipment caused by adverse events;the short-term mortality rate was 4.94%,0-2point:76.45%;the follow-up time ranged from 1 months to 3 years,288 cases were followed up for more than 5 months,which is stable in 212 cases,241 cases were followed up for more than 12 months,the prognosis is poor in 15 cases,6 cases of death;statistically significance of poor prognosis and death of patients in Hunt-Hess grade,tumor size and better prognosis in patients with difference(P<0.05). Conclusion endovas-cular treatment is suitable for all ages,the vast majority of patients with intracranial aneurysm treatment,the short-term prognosis and long-term prognosis was good,death rupture than for patients with severe condition, there are.
