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目的 S分析颅内动脉瘤栓塞术中破裂危险因素及处理方案。方法对120例经血管内治疗颅内动脉瘤患者临床资料进行回顾性分析。结果病例组前循环动脉破裂率8.42%(8/95)低于后循环动脉48.00%(12/25)(P<0.05);规则囊状、多分叶伴子瘤、多分叶无子瘤破裂率分别为10.81%(8/74)、21.42%(6/28)、36.84%(7/19),规则囊状破裂率与多分叶无子瘤差异显著(P<0.05);两组动脉瘤直径<3 mm对比差异显著(P<0.05);两组动脉瘤宽颈、窄颈对比差异无统计学意义(P>0.05);动脉瘤部位、大小是颅内脉瘤栓塞术中破裂独立危险因素(P<0.05),动脉瘤形态是非独立因素。结论颅内动脉瘤栓塞术中破裂危险因素主要为动脉瘤部位及大小。
Objective S analysis of intracranial aneurysm embolization in the risk of rupture and treatment options. Methods The clinical data of 120 patients with endovascular treatment of intracranial aneurysms were analyzed retrospectively. Results The rate of rupture of anterior circulation artery in case group was 8.42% (8/95), lower than that in posterior circulation artery (48.00%, 12/25) (P <0.05) (8/74), 21.42% (6/28) and 36.84% (7/19) respectively. There was a significant difference between the regular cyst rupture rate and the multi-lobular aneurysm (P <0.05) (P <0.05). There was no significant difference between the two groups in wide neck and narrow neck (P> 0.05). The location and size of aneurysm were independent risk factors of rupture in intracranial aneurysm embolization P <0.05), aneurysm morphology is an independent factor. Conclusion The main risk factors of rupture during intracranial aneurysm embolization are aneurysm location and size.