[1]孙阳阳　朱辰路　杨振兴　黄德俊　颜　华　田伟伟　冯　进　李宗正.WFNS分级Ⅳ~Ⅴ级颅内动脉瘤的血管内栓塞治疗预后影响因素分析[J].中国临床神经外科杂志,2020,(12):838-840.[doi:10.13798/j.issn.1009-153X.2020.12.007]
　SUN Yang-yang,ZHU Chen-lu,YANG Zhen-xing,et al.Analysis of prognostic factors of patients with intracranial aneurysms of WFNS grade Ⅳ~Ⅴ after treatment of endovascular embolization[J].,2020,(12):838-840.[doi:10.13798/j.issn.1009-153X.2020.12.007]
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WFNS分级Ⅳ~Ⅴ级颅内动脉瘤的血管内栓塞治疗预后影响因素分析()
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《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
期数:
2020年12期
页码:
838-840
栏目:
论著
出版日期:
2020-12-25

文章信息/Info

Title:
Analysis of prognostic factors of patients with intracranial aneurysms of WFNS grade Ⅳ~Ⅴ after treatment of endovascular embolization
文章编号:
1009-153X（2020）12-0838-03
作者:
孙阳阳　朱辰路　杨振兴　黄德俊　颜　华　田伟伟　冯　进　李宗正
750004 银川，宁夏医科大学（孙阳阳、颜　华、田伟伟）；760000 兰州，兰州大学第二医院（朱辰路）；750004 银川，宁夏医科大学总医院神经外科（杨振兴、黄德俊、冯　进、李宗正）
Author(s):
SUN Yang-yang1;  ZHU Chen-lu2;  YANG Zhen-xing3;  HUANG De-jun3;  YAN Hua1;  TIAN Wei-wei1;  FENG Jin3;  LI Zong-zheng3.
1.Ningxia Medical University, Yinchuan 750004, China; 2. Lanzhou University Second Hospital, Lanzhou 760000, China; 3. Department of Neurosurgery, General Hospital of Ningxia Medical University, Yinchuan 750004, China.
关键词:
颅内破裂动脉瘤; WFNS分级Ⅳ~Ⅴ级; 血管内治疗; 预后
Keywords:
Intracranial aneurysm;  Subarachnoid hemorrhage;  Endovascular treatment;  Prognosis
分类号:
R 743.9; R 815.2
DOI:
10.13798/j.issn.1009-153X.2020.12.007
文献标志码:
A
摘要:
目的 探讨WFNS分级Ⅳ~Ⅴ级颅内动脉瘤的血管内栓塞治疗预后影响因素。方法 回顾性分析2015年1月到2019年8月血管内栓塞治疗的102例WFNS分级Ⅳ~Ⅴ级颅内动脉瘤的临床资料。随访至少6个月，采用改良Rankin量表（mRS）评分评估预后，其中0~2分为预后良好，3~6分为预后不良。结果 102例中，预后良好47例（46.1%），预后不良55例（53.9%）；死亡40例。多因素logistic回归分析结果显示，入院WFNS分级Ⅴ级、术前脑疝、载瘤动脉痉挛是预后不良的独立风险因素（P<0.05）。结论 对于WFNS分级Ⅳ~Ⅴ级颅内动脉瘤，预后影响因素很多，早期治疗有助于改善病人预后。
Abstract:
Objective To explore the prognostic factors of patients with intracranial aneurysms of WFNS grade Ⅳ~Ⅴ after the treatment of endovascular embolization. Methods The clinical data of 102 patients with intracranial aneurysms of WFNS grade Ⅳ~Ⅴ who received the endovascular embolization from January 2015 to August 2019 were analyzed retrospectively. The follow-up lasted for at least 6 months, and the modified Rankin scale (mRS) score was used to evaluate the prognosis, with good prognosis of mRS score 0~2 and poor prognosis of mRS score 3~6. Results Of 102 patients, 47 patients (46.1%) had a good prognosis and 55 (53.9%) had a poor prognosis. Forty patients died. Multivariate logistic regression analysis showed that admission WFNS grade V, preoperative cerebral herniation, and parent artery spasm were independent risk factors for poor prognosis (P<0.05). Conclusions For the patients with intracranial aneurysms of WFNS grade Ⅳ~Ⅴ, many factors are related to the prognosis, and early treatment is helpful to improving the patient’s prognosis.

参考文献/References:

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备注/Memo

备注/Memo:
基金项目：宁夏回族自治区科学技术厅重点研发项目（2018BEG03021）通讯作者：李宗正，E-mail：nxlizongzh@163.com
更新日期/Last Update: 2020-12-25