[1]幸　标　彭占威　李　俊.前交通动脉动脉瘤夹闭术后并发中枢性尿崩症的危险因素[J].中国临床神经外科杂志,2019,(10):586-588.[doi:10.13798/j.issn.1009-153X.2019.10.003]
　XING Biao,PENG Zhan-wei,LI Jun..Analysis of factors related to central diabetes insipidus after clipping of anterior communicating artery aneurysms[J].,2019,(10):586-588.[doi:10.13798/j.issn.1009-153X.2019.10.003]
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前交通动脉动脉瘤夹闭术后并发中枢性尿崩症的危险因素()
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《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
期数:
2019年10期
页码:
586-588
栏目:
论著
出版日期:
2019-10-20

文章信息/Info

Title:
Analysis of factors related to central diabetes insipidus after clipping of anterior communicating artery aneurysms
文章编号:
1009-153X（2019）10-0586-03
作者:
幸　标　彭占威　李　俊
430010 武汉，华中科技大学同济医学院附属武汉市中心医院神经外科（幸　标、彭占威、李　俊）
Author(s):
XING Biao;  PENG Zhan-wei;  LI Jun.
Department of Neurosurgery, Wuhan Municipal Central Hospital Affiliated to Tongji Medical school, Huazhong University of Sciences and Technology, Wuhan 430010, China
关键词:
前交通动脉动脉瘤; 显微夹闭术; 中枢性尿崩症; 危险因素
Keywords:
Anterior communicating artery;  Intracranial aneurysms;  Craniotomy;  Central diabetes insipidus;  Risk factor
分类号:
R 743.9; R 651.1+2
DOI:
10.13798/j.issn.1009-153X.2019.10.003
文献标志码:
A
摘要:
目的 探讨前交通动脉动脉瘤夹闭术后并发中枢性尿崩症（CDI）的危险因素。方法 回顾性分析2009年1月~2018年1月显微夹闭术治疗的154例前交通动脉动脉瘤的临床资料；采用多因素logistic回归分析法筛选术后并发CDI的危险因素。结果 154例中，术后并发CDI 13例（8.4%）。多因素 logistic 回归分析结果显示术中动脉瘤破裂是术后并发CDI的独立危险因素（OR=15.642；95% CI 1.035~236.447；P=0.047]。结论 前交通动脉动脉瘤夹闭术中，如果发生动脉瘤破裂，临床应注意防治CDI。
Abstract:
Objective To investigate the factors related to the central diabetes insipidus (CDI) after clipping of anterior communicating artery (ACoA) aneurysms. Methods The clinical data of 154 patients with ACoA aneurysms undergoing craniotomy in our hospital from January, 2009 to January, 2018 were analyzed retrospectively. Of these 154 patients, 13 had CDI and 141 not after the craniotomy. The factors related to CDI were statistically analyzed. Results The univariate analysis showed that the factors related to the postoprative CDI included the preoperative Hunt-Hess grade, aneurismal form, intraoperative aneurysms rupture, new cerebral infarct, operative injury to the penetrating blood vessel and time of temporary occlusion of the parent artery. The multivariate logistic regression analysis showed that the rupture of aneurysm during the operation was the independent risk factor of CDI after the clipping of ACoA aneurysms (OR=15.642, 95% CI: 1.035~236.447, P<0.05). Conclusion The intraoperative rupture of aneurysms strongly suggests that CDI may occur after the craniotomy in the patients with ACoA aneurysms.

参考文献/References:

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备注/Memo

备注/Memo:
基金项目：武汉市卫生局临床医学科研项目（WX12B02）；武汉市临床医学研究中心项目；通讯作者：李　俊，E-mail：lj690222@sina.com（2019-02-26收稿，2019-07-01修回）
更新日期/Last Update: 2019-10-20