后交通动脉动脉瘤血管内栓塞术后复发的影响因素分析
发布时间：2018-07-16 15:33
【摘要】：目的探讨影响后交通动脉动脉瘤血管内栓塞术后复发的危险因素。方法回顾性连续纳入2014年1月至12月皖南医学院附属弋矶山医院神经外科接受血管内治疗的后交通动脉动脉瘤患者71例(共74个动脉瘤),以动脉瘤数计为例数(74例)。根据动脉瘤是否复发,分为复发组(18例)和未复发组(56例)。比较两组临床资料及动脉瘤特征的差异,采用Logistic多因素回归分析后交通动脉动脉瘤血管内栓塞术后复发的危险因素。结果 74例动脉瘤中,单纯弹簧圈栓塞51例,使用支架辅助栓塞23例,均释放满意。两组患者动脉瘤大小、Raymond分级的组间差异均有统计学意义(均P0.01);复发组合并子囊发生率[55.6%(10/18)]、非支架辅助比例[88.9%(16/18)]均高于未复发组[23.2%(13/56)、62.5%(35/56)],组间差异均有统计学意义(均P0.05);其余动脉瘤特征的组间差异均无统计学意义(均P0.05)。经变量筛选,Raymond分级以RaymondⅠ级为参照,进行多因素Logistic回归分析显示,非支架辅助(OR=4.789,95%CI:1.207~19.009,P=0.026)、RaymondⅡ级(OR=12.326,95%CI:3.838~39.592,P0.01)、RaymondⅢ级(OR=36.884,95%CI:2.892~470.454,P=0.005)是后交通动脉动脉瘤栓塞术后复发的独立危险因素。结论非支架辅助、RaymondⅡ~Ⅲ级可能会引起后交通动脉动脉瘤术后复发。
[Abstract]:Objective to investigate the risk factors for recurrence of posterior communicating aneurysms after endovascular embolization. Methods from January to December 2014, 71 patients (74 aneurysms) with posterior communicating artery aneurysms received endovascular treatment in the department of neurosurgery, affiliated to Yiji Mountain Hospital of Southern Anhui Medical College, including 74 cases (74 cases). According to whether the aneurysm recurred, it was divided into recurrent group (18 cases) and non recurrence group (56 cases). The clinical data and the characteristics of aneurysm were compared between the two groups. Logistic multivariate regression analysis was used to analyze the risk factors of recurrence of communicating aneurysms after embolization. Results among 74 cases of aneurysms, 51 cases were embolized with coil and 23 cases were embolized with stent. There were significant differences in the size of aneurysm and Raymond grade between the two groups (all P0.01), the incidence of recurrent combinations and oocysts [55.6% (10 / 18)], non-stent assist ratio [88.9% (16 / 18)] were significantly higher than those in the non-recurrent group [23.2% (1356 / 1356) / 62.5% (35 / 56)], and the differences between the two groups were statistically significant (P0.05). There was no significant difference in the characteristics of aneurysm between groups (P0.05). The multivariate logistic regression analysis showed that non-stent-assisted (OR 4.789) 95% CI 1.207 ~ 19.009% P0.026) Raymond 鈪，
本文编号：2126830
[Abstract]:Objective to investigate the risk factors for recurrence of posterior communicating aneurysms after endovascular embolization. Methods from January to December 2014, 71 patients (74 aneurysms) with posterior communicating artery aneurysms received endovascular treatment in the department of neurosurgery, affiliated to Yiji Mountain Hospital of Southern Anhui Medical College, including 74 cases (74 cases). According to whether the aneurysm recurred, it was divided into recurrent group (18 cases) and non recurrence group (56 cases). The clinical data and the characteristics of aneurysm were compared between the two groups. Logistic multivariate regression analysis was used to analyze the risk factors of recurrence of communicating aneurysms after embolization. Results among 74 cases of aneurysms, 51 cases were embolized with coil and 23 cases were embolized with stent. There were significant differences in the size of aneurysm and Raymond grade between the two groups (all P0.01), the incidence of recurrent combinations and oocysts [55.6% (10 / 18)], non-stent assist ratio [88.9% (16 / 18)] were significantly higher than those in the non-recurrent group [23.2% (1356 / 1356) / 62.5% (35 / 56)], and the differences between the two groups were statistically significant (P0.05). There was no significant difference in the characteristics of aneurysm between groups (P0.05). The multivariate logistic regression analysis showed that non-stent-assisted (OR 4.789) 95% CI 1.207 ~ 19.009% P0.026) Raymond 鈪，
本文编号：2126830
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