脑动静脉畸形栓塞术后颅内出血的高危因素分析

发布时间：2018-11-25 07:15

【摘要】：目的探讨脑动静脉畸形栓塞术后颅内出血的高危因素。方法选取2014年2月至2016年2月收治的行脑动静脉畸形栓塞术治疗的脑动静脉畸形患者215例的临床资料进行回顾性分析,观察患者术后3d颅内出血情况,并分析术后颅内出血相关危险因素。结果所有患者治疗后畸形血管团面积小于治疗前,差异显著(P0.05);215例患者共13例出现颅内出血,占6.05%(13/215);患者脑动静脉畸形栓塞术后发生颅内出血的高危因素为具有既往高血压史和单次栓塞面积≥36.5%(P0.05)。结论诱发脑动静脉畸形栓塞术后颅内出血的高危因素为既往高血压史和单次栓塞面积较高,临床应引起高度重视,密切观察患者血管栓塞情况,及时采取有效措施以降低颅内出血发生。
[Abstract]:Objective to investigate the high risk factors of intracranial hemorrhage after cerebral arteriovenous malformation embolization. Methods the clinical data of 215 patients with cerebral arteriovenous malformation treated by embolization from February 2014 to February 2016 were retrospectively analyzed, and the intracranial hemorrhage was observed 3 days after operation. The risk factors of postoperative intracranial hemorrhage were analyzed. Results the area of malformed blood vessels in all the patients was smaller than that before treatment (P0.05), 13 cases (6.05%) had intracranial hemorrhage (13 / 215), and 13 cases (6.05%) had intracranial hemorrhage in 215 cases (13 / 215). The high risk factors of intracranial hemorrhage after cerebral arteriovenous malformation embolization were hypertension history and single embolization area 鈮，

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