摘要
目的探讨颅内动脉瘤(CA)破裂的相关因素,为临床CA的治疗提供参考。方法收集2013年5月至2014年12月于我院神经科住院治疗的120例CA资料,对其进行三维重建,获得动脉瘤的三维图像,测量瘤体长、最大径及瘤颈宽等数据,分析CA破裂的相关因素。结果破裂动脉瘤部位依次为前交通动脉、后交通动脉和基底动脉瘤。破裂组患者年龄、女性比例均明显高于未破裂组(P<0.05);破裂组患者动脉瘤最大内径(8.90±2.40)mm较未破裂组(7.20±2.00)mm增大;动脉瘤最大内径≥10 mm组的破裂率明显高于<10 mm组;破裂组动脉瘤平均瘤体长和AR分别为(6.80±2.20)mm、(2.20±0.90),均大于未破裂组的为(4.71±2.20)mm、(1.40±0.40)。破裂组共79个动脉瘤,其中43个有子囊;未破裂组有71个动脉瘤,其中37个有子囊,差异有统计学意义(P<0.05)。结论 CA的发生部位、患者的年龄、性别及瘤体长、AR值和瘤体存在子囊与其破裂密切相关,是其破裂的重要危险因素,因此CA患者早期进行风险评估,对其临床治疗具有指导意义。
Objective To explore the related factors of ruptured intracranial aneurysms （CA ） and provide reference for the clinical treatment of CA. Methods The clinical data of 120 patients with CA were collected in our hospital from Dec 2014 to May 2013.The three-dimensional reconstruction data were acquired by CTA scanning.The relationship were analyzed between CA rupture and sex,age,location of CA,length of tumor,maximum diameter,and the neck width of the tumor. Results The age and female ratio of the patients was significantly higher than that of the non ruptured group（P 〈0.05 ）.The maximum diameter of the aneurysm （8.90 ±2.40）mm was significantly increased than non-ruptured group（7.20 ± 2.00）mm.The maximum diameter of CA≥10 mm was significantly higher rupture than that of 〈10 mm. Rupture of CA average tumor body length （6.80 ±2.20）mm and AR （2.20 ±0.90）were higher than that （4.70 ±2.20）mm,（1 .40 ±0.40）in non rupture group.There were 43 ascus in 79 rupture of CA,and 37 ascus in 71 non-rupture of CA,and the difference was statistically significant （P 〈0.05 ）.Conclusion The rupture of intracranial aneurysms was closely correlated to the site of CA,tumor body length,AR value, the existence of ascus,patient’s age and gender.Therefore,early risk assessment had a guiding significance for clinical treatment.
出处
《河南科技大学学报（医学版）》
2016年第2期98-100,共3页
Journal of Henan University of Science & Technology:Medical Science
关键词
颅内动脉瘤
风险评估
WILLIS环
CT血管造影
intracranial aneurysms
risk assessment
Willis loop
computed tomography angiography
