【摘要】：目的探討腦動(dòng)靜脈畸形栓塞術(shù)后顱內(nèi)出血的高危因素。方法選取2014年2月至2016年2月收治的行腦動(dòng)靜脈畸形栓塞術(shù)治療的腦動(dòng)靜脈畸形患者215例的臨床資料進(jìn)行回顧性分析,觀(guān)察患者術(shù)后3d顱內(nèi)出血情況,并分析術(shù)后顱內(nèi)出血相關(guān)危險(xiǎn)因素。結(jié)果所有患者治療后畸形血管團(tuán)面積小于治療前,差異顯著(P0.05);215例患者共13例出現(xiàn)顱內(nèi)出血,占6.05%(13/215);患者腦動(dòng)靜脈畸形栓塞術(shù)后發(fā)生顱內(nèi)出血的高危因素為具有既往高血壓史和單次栓塞面積≥36.5%(P0.05)。結(jié)論誘發(fā)腦動(dòng)靜脈畸形栓塞術(shù)后顱內(nèi)出血的高危因素為既往高血壓史和單次栓塞面積較高,臨床應(yīng)引起高度重視,密切觀(guān)察患者血管栓塞情況,及時(shí)采取有效措施以降低顱內(nèi)出血發(fā)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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