【摘要】：目的分析未破裂顱內(nèi)動(dòng)脈瘤在顱內(nèi)動(dòng)脈狹窄患者的發(fā)生率、臨床特點(diǎn),并探討發(fā)生未破裂顱內(nèi)動(dòng)脈瘤的危險(xiǎn)因素。方法收集自2012年1月至2015年12月在北京大學(xué)第三醫(yī)院住院,數(shù)字減影血管成像(digital subtraction angiography,DSA)檢查證實(shí)顱內(nèi)動(dòng)脈存在≥50%狹窄,并同時(shí)存在未破裂顱內(nèi)動(dòng)脈瘤患者的資料,并對(duì)患者臨床、DSA影像資料進(jìn)行回顧分析。結(jié)果在273例≥50%顱內(nèi)動(dòng)脈狹窄的患者中,有17例(6.23%)存在未破裂顱內(nèi)動(dòng)脈瘤,患者年齡45~78歲,其中8例女性,9例男性。男性顱內(nèi)動(dòng)脈狹窄患者動(dòng)脈瘤發(fā)病率為4.17%(9/216),女性顱內(nèi)動(dòng)脈狹窄患者動(dòng)脈瘤發(fā)病率為14.4%(8/57),男、女性動(dòng)脈瘤發(fā)病率差異有統(tǒng)計(jì)學(xué)意義(P0.05)。16例(94.12%)動(dòng)脈瘤位于頸內(nèi)動(dòng)脈系統(tǒng),僅1例(5.88%)動(dòng)脈瘤位于基底動(dòng)脈尖;11例(64.71%)動(dòng)脈瘤位于狹窄血管的遠(yuǎn)端,2例(11.76%)位于狹窄血管的近端,另有4例(23.53%)動(dòng)脈瘤與狹窄不在同一血管;Logistic多因素分析顯示,性別是顱內(nèi)動(dòng)脈狹窄患者發(fā)生未破裂顱內(nèi)動(dòng)脈瘤的獨(dú)立危險(xiǎn)因素。結(jié)論顱內(nèi)動(dòng)脈狹窄患者發(fā)生動(dòng)脈瘤的可能性遠(yuǎn)高于普通人群,女性較男性顱內(nèi)動(dòng)脈狹窄患者更易發(fā)生未破裂顱內(nèi)動(dòng)脈瘤。
[Abstract]:Objective to analyze the incidence and clinical characteristics of unruptured intracranial aneurysms in patients with intracranial artery stenosis and to explore the risk factors of unruptured intracranial aneurysms. Methods data were collected from January 2012 to December 2015 in the third Hospital of Peking University. Digital subtraction angiography (digital subtraction) showed that the intracranial artery had 鈮，

本文編號(hào)：2160301