[1]刘永晟,刘勇建,王铭义,等.颅内动脉瘤介入治疗后愈合情况预测模型探讨[J].介入放射学杂志,2019,28(01):11-14.
　LIU Yongsheng,LIU Yongjian,WANG Mingyi,et al.Establishment of a predictive model for the healing status of intracranial aneurysms after interventional therapy[J].journal interventional radiology,2019,28(01):11-14.
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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
28
期数:
2019年01期
页码:
11-14
栏目:
神经介入
出版日期:
2019-01-25

文章信息/Info

Title:
Establishment of a predictive model for the healing status of intracranial aneurysms after interventional therapy
作者:
刘永晟;  刘勇建;  王铭义;  张国栋;  王 峰;  李 克
Author(s):
LIU Yongsheng;  LIU Yongjian;  WANG Mingyi;  ZHANG Guodong;  WANG Feng;  LI Ke
Department of Interventional Radiology， First Affiliated Hospital of Dalian Medical University， Dalian， Liaoning Province 116011， China
关键词:
【关键词】 颅内动脉瘤;  血管内治疗;  logistic模型
文献标志码:
A
摘要:
【摘要】 目的 建立颅内动脉瘤介入治疗后愈合情况预测模型。方法 回顾性收集2004年7月至2016年6月采用血管内介入治疗的颅内动脉瘤患者临床资料。所有与血管造影结果相关因素均纳入单因素显著性分析，P＜0.25变量纳入logistic回归分析，建立简易logisitc模型，采用接收者工作特征曲线（ROC）评价模型评分系统区分能力。结果 199例颅内动脉瘤患者212枚动脉瘤获血管造影随访。随访时动脉瘤闭塞状态与瘤体是否破裂（P=0.014，OR=2.490，β=0.912）、支架辅助（P＜0.001，OR=6.473，β=1.868）、瘤体大小（P=0.014，OR=4.499，β=1.504）、即刻栓塞结果（完全栓塞P＜0.001，OR=31.627，β=3.454，近完全栓塞P=0.022，OR=7.588，β=2.027）、瘤体位置（P=0.030，OR=2.823，β=1.038）有关。预测模型ROC下面积（AUC）为0.812，灵敏度为84.4%、特异度为64.8%。结论 简易logistic评分可比较准确地预测动脉瘤介入治疗后血管造影随访结果。

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备注/Memo

备注/Memo:
（收稿日期：２０１8-０3-０8）
（本文编辑：边 佶）
更新日期/Last Update: 2019-01-21