【摘要】：【目的】探討自發(fā)性硬腦膜動靜脈瘺(DAVF)診斷延誤的相關(guān)因素及對預(yù)后的可能影響�！痉椒ā窟B續(xù)納入102例在中山大學(xué)附屬第一醫(yī)院確診為自發(fā)性DAVF患者。分析了診斷延誤的相關(guān)因素及對治療和預(yù)后的影響。預(yù)后為出院時(shí)癥狀是否痊愈、改善或無改善�！窘Y(jié)果】從發(fā)病到確診DAVF的中位時(shí)間為3個(gè)月(四分位數(shù)間距:1~6個(gè)月)。與診斷較早組(診斷時(shí)間≤3個(gè)月)相比,診斷較晚組(診斷時(shí)間3個(gè)月)頭痛(P=0.012)、眼瞼下垂(P=0.035)和顱內(nèi)病灶(P=0.001)比例更低,結(jié)膜充血(P=0.004)、耳鳴(P=0.021)、視力障礙(P0.001)、孤立視力障礙(P=0.007)和較晚完成影像學(xué)檢查(P0.001)比例更高,手術(shù)切除或夾閉病灶比例更低、血管內(nèi)治療比例更高(P=0.005),出院時(shí)癥狀已痊愈或改善比例更低(P=0.033),其中有視力障礙者痊愈或改善的比例較無視力障礙者更低(P=0.023)。與伴隨其他癥狀的視力障礙者相比,孤立視力障礙患者以發(fā)作性黑朦或視朦起病(P0.001)、雙眼受累(P0.001)和嚴(yán)重視力下降(P=0.057)比例更高,均有顱內(nèi)高壓[中位數(shù)(四分位數(shù)間距):405(370-512)mmH_2O],更多引流至橫竇-乙狀竇(P0.001)而非海綿竇(P0.001),但出院時(shí)痊愈或改善比例無差別(P=0.739)�！窘Y(jié)論】診斷延誤在自發(fā)性DAVF中是值得注意的,它會影響癥狀的改善,尤其是伴有視力障礙的患者。
[Abstract]:[objective] to investigate the factors related to the delayed diagnosis of spontaneous dural arteriovenous fistula (DAVF) and its possible influence on prognosis. [methods] 102 consecutive cases of spontaneous DAVF were diagnosed in the first affiliated Hospital of Sun Yat-sen University. The factors related to delayed diagnosis and its influence on treatment and prognosis were analyzed. The prognosis was whether the symptoms were cured, improved or not. [results] the median time from onset to diagnosis of DAVF was 3 months (quartile interval: 1 ~ 6 months). Compared with the earlier group (diagnosis time 鈮，

本文編號：2420890