[1]徐春林,沈　育,胡均贤,等.开颅夹闭术中前循环动脉瘤破裂患者的预后影响因素分析[J].新乡医学院学报,2016,33(10):891-893.[doi:10.7683/xxyxyxb.2016.10.014]
　XU Chun-lin,SHEN Yu,HU Jun-xian,et al.Analysis of the prognostic factors in patients with anterior circulation aneurysms ruptured during the craniotomy[J].Journal of Xinxiang Medical University,2016,33(10):891-893.[doi:10.7683/xxyxyxb.2016.10.014]
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开颅夹闭术中前循环动脉瘤破裂患者的预后影响因素分析
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《新乡医学院学报》[ISSN:1004-7239/CN:41-1186/R]

卷:
33
期数:
2016年10
页码:
891-893
栏目:
临床研究
出版日期:
2016-10-05

文章信息/Info

Title:
Analysis of the prognostic factors in patients with anterior circulation aneurysms ruptured during the craniotomy
作者:
徐春林; 沈　育; 胡均贤; 程小志
（黄冈市中心医院神经外科，湖北　黄冈　438000）
Author(s):
XU Chun-lin; SHEN Yu; HU Jun-xian; CHENG Xiao-zhi
(Department of Neurosurgery,Huanggang Central Hospital,Huanggang 438000,Hubei Province,China)
关键词:
前循环动脉瘤; 开颅夹闭术; 动脉瘤破裂; 预后
Keywords:
anterior circulation aneurysms; craniotomy clipping; aneurysm ruptured; prognosis
分类号:
R651.1+2
DOI:
10.7683/xxyxyxb.2016.10.014
文献标志码:
A
摘要:
目的　探讨开颅夹闭术中前循环动脉瘤（ACA）破裂患者的预后影响因素。方法　回顾性分析2012年3月至2015年7月在黄冈市中心医院行开颅夹闭术中发生动脉瘤破裂（IAR）的40例ACA患者的临床资料，采用单因素和多因素logistic回归分析对IAR患者的预后影响因素进行分析。结果　40例IAR患者中，预后好者34例（预后好组），预后差者6例（预后差组）。2组患者的性别、年龄、高血压病史、动脉瘤直径、术中是否使用临时阻断夹及阻断时间、术中失血量比较差异均无统计学意义（P>0.05），2组患者的术前Hunt-Hess分级、动脉瘤破裂点比较差异有统计学意义（P<0.01）。术前Hunt-Hess分级Ⅳ～Ⅴ级、瘤颈部破裂是影响IAR患者预后的独立危险因素（P<0.01）。结论　术前Hunt-Hess分级越高、瘤颈部破裂是导致IAR患者预后不良的重要因素。
Abstract:
Objective　To investigate the prognostic factors in patients with anterior circulation aneurysms(ACA) ruptured during the craniotomy.Methods　The clinical data of 40 ACA patients with intraoperative aneurysm ruptured(IAR) during the craniotomy in Huanggang Central Hospital from March 2012 to July 2015 were retrospectively analyzed.The prognostic factors in patients with IAR were analyzed by univariate and multivariate logistic regression analysis.Results　Among the 40 patients with IAR,the prognosis was good in 34 cases(good prognosis group),and the prognosis was poor in 6 cases(poor prognosis group).There was no significant difference in the sex,age,history of hypertension,aneurysm diameter,whether using the temporary arterial clamp and the blocking time,intraoperative blood loss between the two groups (P>0.05).There was significant difference in the preoperative Hunt-Hess classification and aneurysm ruptured point between the two groups(P<0.01).Preoperative Hunt-Hess classification Ⅳ-Ⅴ and aneurysm neck rupture were the independent risk factors in the prognosis of patients with IAR (P<0.01).Conclusion　The higher preoperative Hunt-Hess classification and aneurysm neck rupture are the important poor prognostic factors in IAR patients.

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更新日期/Last Update: 2016-10-05