CAJ | 학술논문

目的：探讨外科治疗后交通动脉瘤的相关因素。方法：收治后交通动脉瘤手术患者120例，分析影响外科治疗后交通动脉瘤效果的相关因素。结果：年龄、Hunt-Hess分级、昏迷程度、手术时机、CT示蛛网膜下腔出血特点和术后并发症与手术治疗后交通动脉瘤疗效相关(P＜0.05或P＜0.01)。有序Logisitic回归分析显示，年龄、Hunt-Hess分级、昏迷程度、手术时机为影响手术治疗后交通动脉瘤疗效的独立危险因素(P＜0.05)。结论：针对以上因素，指导临床医生对后交通动脉瘤预后做出预测，从而制定正确的治疗方案，改善患者预后。
목적：탐토외과치료후교통동맥류적상관인소。방법：수치후교통동맥류수술환자120례，분석영향외과치료후교통동맥류효과적상관인소。결과：년령、Hunt-Hess분급、혼미정도、수술시궤、CT시주망막하강출혈특점화술후병발증여수술치료후교통동맥류료효상관(P＜0.05혹P＜0.01)。유서Logisitic회귀분석현시，년령、Hunt-Hess분급、혼미정도、수술시궤위영향수술치료후교통동맥류료효적독립위험인소(P＜0.05)。결론：침대이상인소，지도림상의생대후교통동맥류예후주출예측，종이제정정학적치료방안，개선환자예후。
Objective:To explore the related factors of the surgical treatment on the posterior communicating artery aneurysms. Methods:120 patients with posterior communicating artery aneurysms were selected,and then we analyzed the related factors affecting the effect of surgical treatment.Results:The related factors of the surgical treatment on the posterior communicating artery aneurysms including age,hunt Hess grade,coma degree,operation time,the characteristics of subarachnoid hemorrhage showed by CT,and postoperative complications(P<0.05 or P<0.01).Ordered logisitic regression analysis showed that age, Hunt-Hess grade, coma degree and the operation time were independent risk factors for the treatment of posterior communicating artery aneurysms(P<0.05).Conclusion:In view of the above factors,guided clinicians to predict the forecast of posterior communicating artery aneurysm,in order to make treatment plan correctly,and improve the prognosis of patients.