血管内介入术可有效治疗颅内后循环动脉瘤

发布时间：2019-05-30 00:57

【摘要】：针对颅内动脉瘤的发病特征,血管内介入术的治疗效果及相应并发症,讨论其安全性及有效性。回顾并分析南华大学附属第二医院在2013年1月至2016年9月期间治疗的71例后循环颅内动脉瘤患者临床数据及相关资料,其中包括糖尿病史、高血压病史、饮酒史、吸烟史等既往史;性别、年龄、民族;头痛、恶心、头晕、意识障碍、呕吐等临床症状;入院检查Hunt-Hess等级,改良的Fisher等级、动脉瘤数目、动脉瘤部位、动脉瘤形态、入、出院的mRS预后评估等级、造影复查及手术后动脉瘤栓塞的程度Raymond等级等,对以上相关资料进行相应统计分析。研究发现,出院时mRS评分值在0~2分之间的患者占总数的87.4%,入/出院时mRS的评分值存在明显差异(χ~2=12.06;p=0.001);后循环颅内动脉瘤的治疗过程中栓塞术具有有效性(χ~2=8.15;p=0.017)。颅内后循环能达到完全栓塞效果,能有效的降低术后再次出血及复发率,因此血管内治疗颅内动脉瘤是一种相对安全又有疗效的治疗手段。与介入并发症相关的因素包括术中药物的选择、术中血压血、管内操作时间以及脑组织缺血时间等。
[Abstract]:According to the characteristics of intracranial aneurysm, the therapeutic effect of intravascular intervention and the corresponding complications, the safety and effectiveness of intracranial aneurysm were discussed. The clinical data and related data of 71 patients with posterior circulation intracranial aneurysm treated by the second Hospital affiliated to Nanhua University from January 2013 to September 2016 were reviewed and analyzed, including the history of diabetes, hypertension and drinking. History of smoking and other past history; Sex, age, nationality, headache, nausea, dizziness, disturbance of consciousness, vomiting and other clinical symptoms; Admission examination Hunt-Hess grade, improved Fisher grade, aneurysm number, aneurysm location, aneurysm shape, admission, mRS prognosis evaluation grade, angiography reexamination and degree of aneurysm embolism after operation Raymond grade, etc. The corresponding statistical analysis of the above relevant data is carried out. It was found that 87.4% of the patients had a MRS score between 0 and 2 at discharge, and there was a significant difference in the score of mRS at the time of admission / discharge (蠂 ~ 2 鈮，

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