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目的 建立一种评估颅内动脉瘤栓塞治疗效果的多因素分析方法。方法 选择近期资料收集齐全的应用电解式可脱性弹簧圈(GDC)栓塞治疗的62例颅内动脉瘤病人,根据可能与疗效有关的26个临床指标,建立数据库,采用多变量资料统计方法,应用医学统计软件SAS6.12版进行数据处理。结果 有五项临床指标被证实有统计学意义,分别是Hunt-Hess分级、载瘤动脉是否闭塞、高血压或糖尿病病史、昏迷史、是否出现血管痉挛。并根据临床治疗结果建立相应的概率方程。经回代检验总正确率72.58％。结论 该多因素分析方法可用于对颅内动脉瘤病人栓塞治疗的结果进行评估。
Objective To establish a multivariate analysis method to evaluate the effect of intracranial aneurysm embolization. Methods Sixty-two patients with intracranial aneurysm treated with Electrolytic Detachable Coil (GDC) embolization were selected according to recent data collection. According to 26 clinical indexes that may be related to the curative effect, a database was established. Multivariate statistical methods were used, Application of medical statistics software SAS6.12 version for data processing. Results There are five clinical indicators were confirmed statistically significant, namely, Hunt-Hess classification, whether the parent artery occlusion, hypertension or diabetes history, coma history, whether vasospasm. And based on the results of clinical treatment to establish the corresponding probability equation. After the test of the total correct rate of 72.58%. Conclusions This multivariate analysis can be used to evaluate the results of embolization in patients with intracranial aneurysms.