摘要
目的探讨脑动静脉畸形（AVM）介入栓塞治疗后影响并发症发生的相关危险因素。方法对1998年1月至2008年1月接受介入栓塞治疗的102例AVM患者的临床资料进行分析。参考相关文献，对可能影响术后并发症发生的16个因素进行单因素和多因素分析。结果102例患者中，有26例术后发生临床并发症，其中11例为技术相关并发症；经治疗后恢复良好15例，遗留局部神经功能障碍10例，死亡1例。16个可能影响术后并发症的因素中，出血史、高血压史、病变分级、病变部位、深静脉引流、引流静脉栓塞和术后血压控制为危险因素；其中出血史、深静脉引流和引流静脉栓塞为主要危险因素。结论在可能影响AVM栓塞术后并发症的危险因素中，出血史、深静脉引流和引流静脉栓塞是最重要的因素；认识并控制危险因素可减少术后并发症的发生。
Objective To analyze the risk factors of complications after transarterial embolization for the cerebral arteriovenous malformation （AVM）. Methods One hundred and two patients with cerebral arteriovenous malformation underwent transarterial embolization treatment in our institution from Jan 1998 to Jan 2008 and their clinic data were retrospectively analyzed. The univariate and multivariate analyses were performed for 16 factors potentially related to post-embolization complications in cerebral AVM patients. Results Of the 102 patients the post-embolization complications were observed in 26 patients; among all complication 11 were technical ones. Among 26 patients with post-embolization complications, 15 recovered without obvious neurological defect and 10 had local neurological defects at the discharge; and 1 patient died. In the 16 factors, the history of cerebral hemorrhage, history of hypertension, AVM grade, AVM location, deep venous drainage, draining vein embolization and post-embolization blood pressure control were determined as risk factors, and the history of cerebral hemorrhage, deep venous drainage and draining vein embolization were determined as the main risk factors. Conclusion The history of cerebral hemorrhage, deep venous drainage and vein embolization are the most important risk factors for the post-embolization complication of cerebral AVM; the identification and control of these factors may decrease the incidence of the post-embolization complications.
出处
《浙江医学》
CAS
2010年第4期454-456,460,共4页
Zhejiang Medical Journal
关键词
脑动静脉畸形
栓塞
并发症
危险因素
Cerebral arteriovenous malformation Embolization Complication Risk factor
