[1]顾大群,张 扬,晁迎九,等.超早期栓塞治疗对破裂颅内动脉瘤患者预后的影响[J].介入放射学杂志,2014,(12):1029-1032.
 GU Da Qun,ZHANG Yang,CHAO Ying jiu,et al.The impact of ultra early embolization treatment for ruptured intracranial aneurysms on patient’s prognosis[J].journal interventional radiology,2014,(12):1029-1032.
点击复制

超早期栓塞治疗对破裂颅内动脉瘤患者预后的影响 ()

PDF下载中关闭

分享到:

《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2014年12期
页码:
1029-1032
栏目:
神经介入
出版日期:
2014-12-25

文章信息/Info

Title:
The impact of ultra early embolization treatment for ruptured intracranial aneurysms on patient’s prognosis
作者:
 顾大群 张 扬 晁迎九 魏建军 傅先明 牛朝诗 高 歌 陈 昱 余 舰
Author(s):
 GU Da Qun ZHANG Yang CHAO Ying jiu WEI Jian jun FU Xian ming NIU Chao shi GAO Ge CHEN Yu YU Jian.
Department of Neurosurgery, Affiliated Anhui Provincial Hospital, Anhui Medical University, Hefei, Anhui Province 230001, China
关键词:
【关键词】 动脉瘤 栓塞 时间 结果
文献标志码:
A
摘要:
【摘要】 目的 分析超早期栓塞治疗对破裂颅内动脉瘤患者预后的影响。方法 根据栓塞时间将270例患者分成2组:A组(动脉瘤破裂后24 h内行栓塞治疗)135例和B组(动脉瘤破裂24 h后行栓塞治疗)135例,对两组患者的临床特征进行单因素和多因素分析,观察超早期栓塞对临床治疗效果的影响。结果 A、B两组患者入院时具有相似的临床及影像学特征。术后6个月临床结果显示,A组患者中预后良好(mRS 0 ~ 2分)122例(90.4%),而B组患者中预后良好110例(81.5%),两组比较,差异有统计学意义(P = 0.036)。多因素Logistic回归分析显示,超早期栓塞治疗(P = 0.021;OR,2.536;95%CI:1.637 ~ 5.116)为患者预后的一个独立影响因素。结论 颅内动脉瘤破裂后24 h内进行栓塞治疗能够改善患者的预后。

参考文献/References:

 [1] Johnston SC, Wilson CB, Halbach VV, et al. Endovascular and surgical treatment of unruptured cerebral aneurysms: Comparison of risks[J]. Ann Neurol, 2000, 48: 11 19.
[2] Brunken M, Kehler U, Fiehler J, et al. [Coiling vs. clipping: hospital stay and procedure time in intracranial aneurysm treatment]. [Article in German][J]. Rofo, 2009, 181: 989 995.
[3] 王书祥, 甄 勇, 吕朋华, 等. 支架辅助弹簧圈介入栓塞颅内宽颈动脉瘤[J]. 介入放射学杂志, 2012, 21: 501 503.
[4] 李冬冬, 郭新宾, 管 生, 等. 多支架联合弹簧圈栓塞治疗颅内梭形动脉瘤的临床技术和疗效探讨[J]. 介入放射学杂志, 2014, 23: 277 280.
[5] Van Rooij WJ, Sluzewski M. Procedural morbidity and mortality of elective coil treatment of unruptured intracranial aneurysms[J]. AJNR, 2006, 27: 1678 1680.
[6] Park KY, Kim BM, Lim YC, et al. The role of endovascular treatment for ruptured distal anterior cerebral artery aneurysms: comparison with microsurgical clipping[J]. J Neuroimaging, 2013.
[7] Phillips TJ, Dowling RJ, Yan B, et al. Does treatment of ruptured intracranial aneurysms within 24 hours improve clinical outcome[J]. Stroke, 2011, 42: 1936 1945.
[8] 伍 聪, 贺 民, 游 潮. 颅内动脉瘤再破裂风险评估和防治方法[J]. 华西医学, 2012, 27: 1906 1909.
[9] 郭烈美, 周洪语, 徐纪文, 等. 已破裂颅内动脉瘤住院期间再出血的临床分析[J]. 中国脑血管病杂志, 2010, 7: 337 343.
[10] Naidech AM, Janjua N, Kreiter KT, et al. Predictors and impact of aneurysm rebleeding after subarachnoid hemorrhage[J]. Arch Neurol, 2005, 62: 410 416.
[11] Tanno Y, Homma M, Oinuma M, et al. Rebleeding from ruptured intracranial aneurysms in North Eastern Province of Japan. A cooperative study[J]. J Neurol Sci, 2007, 258: 11 16.
[12] Cha KC, Kim JH, Kang HI, et al. Aneurysmal rebleeding: factors associated with clinical outcome in the rebleeding patients[J]. J Korean Neurosurg Soc, 2010, 47: 119 123.
[13] Harrigan MR, Rajneesh KF, Ardelt AA, et al. Short term antifibrinolytic therapy before early aneurysm treatment in subarachnoid hemorrhage: effects on rehemorrhage, cerebral ischemia, and hydrocephalus[J]. Neurosurgery, 2010, 67: 935 939.
[14] Dorhout Mees SM, Molyneux AJ, Kerr RS, et al. Timing of aneurysm treatment after subarachnoid hemorrhage: relationship with delayed cerebral ischemia and poor outcome[J]. Stroke, 2012, 43: 2126 2129.
[15] Vi?觡uela F, Duckwiler G, Mawad M. Guglielmi detachable coil embolization of acute intracranial aneurysm: perioperative anatomical and clinical outcome in 403 patients. 1997 [J]. J Neurosurg, 2008, 108: 832 839.
[16] Eddleman CS, Hurley MC, Naidech AM, et al. Endovascular options in the treatment of delayed ischemic neurological deficits due to cerebral vasospasm[J]. Neurosurg Focus, 2009, 26: E6.
[17] Weyer GW, Nolan CP, Macdonald RL. Evidence based cerebral vasospasm management[J]. Neurosurg Focus, 2006, 21: E8. 

相似文献/References:

[1]胡国栋,李小明,黄志程,等.肝动脉解剖变异及肝肿瘤多支供血在栓塞治疗中的重要性[J].介入放射学杂志,1992,(01):7.
[2]周沛林.膀胱癌合并持续性出血的介入放射治疗[J].介入放射学杂志,1993,(01):50.
[3]陶正龙,程永德,钱锡桂,等.肝癌碘油栓塞后肝区平片所见碘油沉积量与疗效关系[J].介入放射学杂志,1993,(01):19.
[4]贾雨辰,刘琦,叶华,等.原发性肝癌不同介入治疗方法疗效的比较研究(附468例分析)[J].介入放射学杂志,1993,(01):5.
[5]孟祥文,李芮宗,马自新,等.同轴导管法在肝癌动脉栓塞中的应用[J].介入放射学杂志,1993,(01):16.
[6]季博青,黄金华,尚克中,等.微球栓塞髂内动脉治疗晚期盆腔恶性肿瘤[J].介入放射学杂志,1993,(01):22.
[7]萧承江,王颂章.56例脑动静脉畸形真丝栓塞治疗[J].介入放射学杂志,1994,(01):18.
[8]陈虎,杨德琪,周健,等.自制同轴导管在精索内静脉栓塞中的应用[J].介入放射学杂志,1994,(01):49.
[9]倪鎏达,陈成伟,茹素娟,等.中晚期肝癌化学免疫治疗与单纯TAE治疗疗效比较[J].介入放射学杂志,1994,(02):82.
[10]张金山.TIPSS术中值得注意的几个问题[J].介入放射学杂志,1994,(04):187.
[11]王书祥 甄 勇 吕朋华 孙 陵 王福安 耿素萍 蔡明玉 黄文诺 葛 俊 王立富. 支架辅助弹簧圈介入栓塞颅内宽颈动脉瘤[J].介入放射学杂志,2012,(06):501.
 WANG Shu-xiang,ZHEN Yong,L i Peng-hua,et al. Stent?蛳 assisted coiling for the treatment of wide?蛳necked intracranial aneurysms[J].journal interventional radiology,2012,(12):501.
[12]肖景坤,吕维富,张正峰,等.血管内栓塞术治疗37例假性动脉瘤[J].介入放射学杂志,2013,(01):60.
 XIAO Jing? kun,LV Wei? fu,ZHANG Zheng? feng,et al. Transcatheter endovascular arterial embolization for the treatment of visceral and peripheral pseudoaneurysms: initial experience in 37 cases[J].journal interventional radiology,2013,(12):60.

备注/Memo

备注/Memo:
 (收稿日期:2014-06-03)
(本文编辑:李 欣)
更新日期/Last Update: 2014-12-24