[1]谭华桥,李明华,朱悦琦,等.前交通动脉瘤破裂的临床和放射解剖学危险因素[J].介入放射学杂志,2016,(07):562-567.
 TAN Hua-qiao,LI Ming-hua,ZHU Yue-qi,et al.Clinical and radio-anatomical risk factors for the rupture of anterior communicating artery aneurysms [J].journal interventional radiology,2016,(07):562-567.
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前交通动脉瘤破裂的临床和放射解剖学危险因素 ()

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

卷:
期数:
2016年07期
页码:
562-567
栏目:
神经介入
出版日期:
2016-07-25

文章信息/Info

Title:
Clinical and radio-anatomical risk factors for the rupture of anterior communicating artery aneurysms


作者:
谭华桥李明华朱悦琦李永东方淳
Author(s):
TAN Hua-qiao LI Ming-hua ZHU Yue-qi LI Yong-dong FANG Chun
Department of Interventional Radiology, Affiliated Tongji Hospital, Tongji University,Shanghai 200065, China
关键词:
【关键词】前交通动脉瘤 蛛网膜下腔出血 危险因素 血管变异
文献标志码:
A
摘要:
【摘要】目的探讨前交通动脉瘤(ACoAA)破裂的临床和放射解剖学危险因素。 方法从前瞻性建立的脑动脉瘤数据库中收集2008年6月至2013年6月经CTA、MRA和(或)DSA确诊的ACoAA患者。根据动脉瘤状态,入选患者分成ACoAA破裂组和未破裂组。收集动脉瘤破裂可能的临床和放射解剖学危险因素,并作单因素和多变量Logistic回归分析。 结果251例ACoAA患者入选研究,其中131例为ACoAA破裂患者。单因素分析显示破裂组患者年龄明显小于未破裂组(P<0.01),<60岁患者和伴有高血压患者比例远高于未破裂组;破裂组动脉瘤平均最大直径大于未破裂组(P<0.01),最大直径≥3 mm比例远高于未破裂组;破裂组大脑前动脉A1段发育不对称(缺如、发育不良)比例远高于未破裂组。多变量Logistic回归分析显示年龄<60岁、高血压病史、动脉瘤最大直径≥3 mm和大脑前动脉A1段发育不良或缺如是ACoAA破裂独立危险因素。 结论年龄<60岁、高血压病史、动脉瘤最大直径≥3 mm和大脑前动脉A1段发育不良或缺如是ACoAA破裂独立危险因素,可作为未破裂ACoAA是否积极干预的重要参考依据。

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备注/Memo

备注/Memo:
(收稿日期:2015-11-01)


(本文编辑:边佶)
更新日期/Last Update: 2016-07-18