【摘要】：目的探討影響后交通動(dòng)脈動(dòng)脈瘤血管內(nèi)栓塞術(shù)后復(fù)發(fā)的危險(xiǎn)因素。方法回顧性連續(xù)納入2014年1月至12月皖南醫(yī)學(xué)院附屬弋磯山醫(yī)院神經(jīng)外科接受血管內(nèi)治療的后交通動(dòng)脈動(dòng)脈瘤患者71例(共74個(gè)動(dòng)脈瘤),以動(dòng)脈瘤數(shù)計(jì)為例數(shù)(74例)。根據(jù)動(dòng)脈瘤是否復(fù)發(fā),分為復(fù)發(fā)組(18例)和未復(fù)發(fā)組(56例)。比較兩組臨床資料及動(dòng)脈瘤特征的差異,采用Logistic多因素回歸分析后交通動(dòng)脈動(dòng)脈瘤血管內(nèi)栓塞術(shù)后復(fù)發(fā)的危險(xiǎn)因素。結(jié)果 74例動(dòng)脈瘤中,單純彈簧圈栓塞51例,使用支架輔助栓塞23例,均釋放滿意。兩組患者動(dòng)脈瘤大小、Raymond分級的組間差異均有統(tǒng)計(jì)學(xué)意義(均P0.01);復(fù)發(fā)組合并子囊發(fā)生率[55.6%(10/18)]、非支架輔助比例[88.9%(16/18)]均高于未復(fù)發(fā)組[23.2%(13/56)、62.5%(35/56)],組間差異均有統(tǒng)計(jì)學(xué)意義(均P0.05);其余動(dòng)脈瘤特征的組間差異均無統(tǒng)計(jì)學(xué)意義(均P0.05)。經(jīng)變量篩選,Raymond分級以RaymondⅠ級為參照,進(jìn)行多因素Logistic回歸分析顯示,非支架輔助(OR=4.789,95%CI:1.207~19.009,P=0.026)、RaymondⅡ級(OR=12.326,95%CI:3.838~39.592,P0.01)、RaymondⅢ級(OR=36.884,95%CI:2.892~470.454,P=0.005)是后交通動(dòng)脈動(dòng)脈瘤栓塞術(shù)后復(fù)發(fā)的獨(dú)立危險(xiǎn)因素。結(jié)論非支架輔助、RaymondⅡ~Ⅲ級可能會(huì)引起后交通動(dòng)脈動(dòng)脈瘤術(shù)后復(fù)發(fā)。
[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，

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