[1]王 珏,赵玉武,李明华,等.多发性颅内动脉瘤破裂的危险因素分析[J].介入放射学杂志,2014,(01):1-4.
　WANG Jue,ZHAO Yu? wu,LI Ming? hua,et al. Predictive risk factors for multiple intracranial aneurysms rupture[J].J Intervent Med,2014,(01):1-4.
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多发性颅内动脉瘤破裂的危险因素分析 ()

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

卷:
期数:
2014年01期
页码:
1-4
栏目:
神经介入
出版日期:
2014-01-20

文章信息/Info

Title:
 Predictive risk factors for multiple intracranial aneurysms rupture
作者:
 王 珏;  赵玉武;  李明华;  鲁海涛
Author(s):
 WANG Jue;  ZHAO Yu?蛳 wu;  LI Ming?蛳 hua;  LU Hai?蛳 tao.
 Department of Medicine， Soochow University， Soochow 215123， China
关键词:
 ; 【关键词】 动脉瘤;  破裂;  危险因素
文献标志码:
A
摘要:
 【摘要】 目的 分析影响颅内多发性动脉瘤破裂的危险因素。方法 2007年7月—2011年7月收治134例多发性颅内动脉瘤患者，共294枚动脉瘤，其中50枚破裂，244枚未破裂。每例患者有2枚或2枚以上动脉瘤。采用单因素和多因素Logistic回归分析患者年龄、性别、动脉瘤大小、位置等因素。结果134例患者中，45 ～ 65岁患者动脉瘤破裂率最高。35例前交通动脉瘤中，13例破裂（37.1%），占所有破裂动脉瘤的26%（13/50）。前交通动脉瘤破裂率明显高于颅内其他位置的动脉瘤（P = 0.001）。294枚动脉瘤中，< 5 mm者占88.1%，< 3 mm者占58.2%。在破裂动脉瘤中，< 5 mm的动脉瘤占68%。结论 多发性颅内动脉瘤的破裂与患者年龄、动脉瘤位置和大小有关，应作为决定未破裂动脉瘤是否进行手术干预的条件。在多发性动脉瘤中，前交通动脉瘤最容易破裂。

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 （收稿日期：２０１3-０6-25）
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