[1]姜喜锋,李天晓,翟水亭,等.颅内动脉瘤解剖特征在初次栓塞结果预测中的应用[J].介入放射学杂志,2008,(08):547.
　JIANG Xifeng,LI Tianxiao,ZHAI Shuiting,et al.The clinical utilization of intracranial aneurysmal anatomic characteristics in predicting the degree of primary aneurysm occlusion[J].journal interventional radiology,2008,(08):547.
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颅内动脉瘤解剖特征在初次栓塞结果预测中的应用()

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

卷:
期数:
2008年08期
页码:
547
栏目:
神经介入
出版日期:
2008-08-15

文章信息/Info

Title:
The clinical utilization of intracranial aneurysmal anatomic characteristics in predicting the degree of primary aneurysm occlusion
作者:
姜喜锋; 李天晓; 翟水亭; 等
４５００５２郑州河南省人民医院介入科
Author(s):
JIANG Xi－feng; LI Tian－xiao; ZHAI Shui－ting; CAO Hui－cun; XUE Jiang－yu; WANG Zi－liang．
Department of Interventional Radiology，Henan Provincial People's Hospital，Zhengzhou４５０００３，China
关键词:
动脉瘤; 解剖学特征; ３D－DSA
分类号:
R７４３.４
文献标志码:
A
摘要:
目的利用３D－DSA确定影响颅内动脉瘤完全栓塞的解剖因素，并应用一种简单的评分系统预测颅内动脉瘤完全栓塞的难度。方法１１９例蛛网膜下腔出血患者经３D－DSA检查共发现１２９枚颅内动脉瘤，择期行动脉瘤血管内栓塞治疗，术后２D－DSA评价栓塞程度。根据３D－DSA图像测量并分析与动脉瘤相关的解剖参数：瘤腔的最大直径，瘤颈大小，圆顶瘤颈比和动脉瘤形状。分析每个参数对动脉瘤栓塞结果的影响，确定影响动脉瘤完全栓塞的解剖因素，并根据这些因素应用一种评分系统预测动脉瘤完全栓塞的难度。最后，分析评价这种评分标准与动脉瘤栓塞程度的相关性。结果３个解剖学因素影响动脉瘤的栓塞程度：瘤颈部尺寸（P＝０．０２）、动脉瘤形状（P＜０．０１）和圆顶与瘤颈比（P＝０．０４）。根据３个解剖参数制定的栓塞难度评分标准与动脉瘤的栓塞程度显著相关（P﹤０．０１）。结论颅内动脉瘤的解剖因素如瘤颈尺寸、动脉瘤形状、圆顶与瘤颈比与其初次栓塞程度相关；３D－DSA设计的难度评分系统能为颅内动脉瘤的最初栓塞结果提供有用的信息。

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备注/Memo

备注/Memo:
收稿日期：２００８－０４－０３
更新日期/Last Update: 2008-08-15