标题：血管内栓塞术治疗颅内动脉瘤术后复发的影响因素分析

      作者：李立群，胡劲松    (汕尾市人民医院神经内科，广东 汕尾 516600)

      卷次： 2017年28卷7期

      【摘要】 目的 探讨血管内栓塞术治疗颅内动脉瘤术后复发的影响因素。方法 选择2013年2月至2015年7月我院神经内科收治的140例颅内动脉瘤患者，均采用血管内栓塞术治疗，术后对患者进行12个月的随访，记录复发情况，比较复发组与非复发组临床资料的差异。结果 140例颅内动脉瘤患者中，术后复发率为 10.71%(15/140)；复发组与未复发组患者的年龄、性别、高血压病史、动脉瘤部位、瘤径、与载瘤动脉关系比较差异均无统计学意义(P>0.05)；但是复发组患者的非支架辅助栓塞、Raymond Ⅱ~Ⅲ级、大型和巨大型动脉瘤的比例分别为53.33%、93.33%、46.67%，均明显高于非复发组的 27.20%、72.00%、24.00%，差异均有统计学意义(P<0.05)。结论血管内栓塞术治疗颅内动脉瘤术后复发与非支架栓塞、动脉瘤体积大及栓塞致密程度有关。
      【关键词】 血管内栓塞；颅内动脉瘤；复发；因素
      【中图分类号】 R739.41 【文献标识码】 A 【文章编号】 1003—6350（2017）07—1156—03

Analysis of influencing factors of intravascular embolization for postoperative recurrence of intracranialaneurysms.
LI Li-qun, HU Jin-song. Department of Neurology, Shanwei People's Hospital, Shanwei 516600, Guangdong,CHINA
【Abstract】 Objective To investigate the influencing factors of intravascular embolization for postoperative re-currence of intracranial aneurysms. Methods A total of 140 patients with intracranial aneurysms, who admitted to Depart-ment of Neurology of our hospital from February 2013 to July 2015, were selected and treated with endovascular emboli-zation. The patients were followed up for 12 months to record the recurrence of recurrence and non-recurrence group, andthe differences of clinical data between the recurrence group and non-recurrence group were compared. Results Among140 patients with intracranial aneurysms, the postoperative recurrence rate was 10.71% (15/140). There were no signifi-cant differences between the recurrence group and non-recurrence group in the age, gender, history of hypertension, lo-cation of aneurysm, tumor diameter, relationship with tumor bearing artery (P>0.05), but the proportion of non-stent-as-sisted embolization, Raymond Ⅱ -Ⅲ, large and giant aneurysms in the recurrence group were 53.33% , 93.33% ,46.67%, respectively, which were significantly higher than 27.20%, 72.00%, 24.00% in the non-recurrence group (P<0.05). Conclusion The postoperative recurrence of patients with intracranial aneurysms undergoing endovascular embo-lization treatment is related to non-stent-assisted embolization, volume of the aneurysm and density of the occlusion.
      【Key words】 Endovascular embolization; Intracranial aneurysm; Recurrence; Factor·临床经验·doi:10.3969/j.issn.1003-6350.2017.07.044