本文選題：椎動(dòng)脈夾層動(dòng)脈瘤 + 血管內(nèi)治療��； 參考：《新疆醫(yī)科大學(xué)》2017年碩士論文

【摘要】：目的:分析椎動(dòng)脈夾層動(dòng)脈瘤(vertebral artery dissecting aneurysm,VADA)的發(fā)病特點(diǎn)根據(jù)血管結(jié)構(gòu)的血管內(nèi)治療方案及其有效性、安全性。方法:回顧性分析新疆醫(yī)科大學(xué)第一附屬醫(yī)院神經(jīng)外科2012年1月至2016年12月血管內(nèi)治療椎動(dòng)脈夾層動(dòng)脈瘤32例患者的臨床資料,主要包括民族,性別,年齡,既往史(高血壓病史,糖尿病史,吸煙史,飲酒史),臨床癥狀(頭痛,頭暈,惡心,嘔吐,意識(shí)障礙),入院時(shí)Hunt-Hess分級(jí),改良Fisher分級(jí)、動(dòng)脈瘤部位,入院和出院時(shí)mRS預(yù)后評(píng)分,術(shù)后及造影復(fù)查后動(dòng)脈瘤栓塞程度,對(duì)這些資料進(jìn)行統(tǒng)計(jì)學(xué)分析總結(jié)。結(jié)果:32例椎動(dòng)脈夾層動(dòng)脈瘤患者中,男20例,女12例,平均年齡為48.7±10.2歲,有21例年齡在30~50歲之間。全部男女性患者年齡均符合正態(tài)分布。出院時(shí)預(yù)后良好的(mRS評(píng)分在0~2分)占總數(shù)的81.25%,入院和出院時(shí)mRS評(píng)分有顯著差異(?2=4.65;P=0.031)。結(jié)論:椎動(dòng)脈夾層動(dòng)脈瘤30-50歲發(fā)病率較高,而且女性發(fā)病率明顯高于男性。椎動(dòng)脈夾層動(dòng)脈瘤根據(jù)血管結(jié)構(gòu)行血管內(nèi)治療是安全、有效、并發(fā)癥較少的治療方案,患者預(yù)后主要取決于患者術(shù)前狀況。
[Abstract]:Objective: to analyze the pathogenetic characteristics of vertebral artery dissecting aneurysm vertebral artery dissecting aneurysmma VADAA according to the intravascular treatment of vascular structure and its efficacy and safety. Methods: the clinical data of 32 patients with vertebral dissecting aneurysm treated by endovascular treatment in neurosurgery Department of the first affiliated Hospital of Xinjiang Medical University from January 2012 to December 2016 were retrospectively analyzed. Previous history (history of hypertension, diabetes, smoking, alcohol consumption), clinical symptoms (headache, dizziness, nausea, vomiting, disturbance of consciousness, Hunt-Hess grade at admission, modified Fisher grade, aneurysm site, mRS prognosis score on admission and discharge), clinical symptoms (headache, dizziness, nausea, vomiting, disturbance of consciousness). The degree of aneurysm embolization after operation and contrast examination were analyzed and summarized statistically. Results among 32 cases of vertebral dissecting aneurysm, 20 cases were male and 12 cases were female, the average age was 48.7 鹵10.2 years, 21 cases were between 30 and 50 years old. All the male and female patients were in accordance with the normal distribution of age. The mRS scores of patients with good prognosis at discharge were 0 ~ 2), which accounted for 81.25% of the total. There was a significant difference in mRS scores between admission and discharge. Conclusion: the incidence of vertebral dissecting aneurysm in 30-50 years old is higher, and the incidence of female is higher than that of male. Endovascular treatment of vertebral artery dissecting aneurysm according to its vascular structure is a safe, effective and less complicated treatment. The prognosis of the patients mainly depends on the preoperative condition of the patients.
【學(xué)位授予單位】：新疆醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R743

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