摘要
目的探讨引起脑动静脉畸形出血的各种危险因素。方法回顾性分析解放军总医院神经外科2007年1月-2009年12月收治的127例脑动静脉畸形患者,其中男69例,女58例,年龄32.6±13.3岁,均经数字减影血管造影(DSA)检查确诊。应用logistic回归分析性别、年龄、畸形血管团直径、深静脉引流、单支静脉引流、伴发动脉瘤对脑动静脉畸形出血的影响。结果伴发动脉瘤、深静脉引流、单支静脉引流、小型动静脉畸形及女性患者的脑动静脉畸形出血风险较大(P<0.05,P<0.01)。年龄对脑动静脉畸形出血无显著影响。结论临床上对于存在伴发动脉瘤、深静脉引流、单支静脉引流、小型动静脉畸形及女性患者的脑动静脉畸形应及早处理,以降低脑动静脉畸形的病残率和病死率。
Objective The present study aims to investigate all kinds of risk factors of hemorrhagic cerebral arteriovenous malformation.Methods The clinical data of 127 cerebral arteriovenous malformation patients were retrospectively analyzed.These patients,consisting of 69 males and 58 females,were treated in the Neurosurgery Department of the General Hospital of PLA from January 2007 to December 2009.The average age was 32.6±13.3.All patients were diagnosed using digital subtraction angiography.Logistic regression was applied to analyze the influence of gender,age,malformation group diameter,deep venous drainage,single venous drainage,and concurrent aneurysms on hemorrhagic cerebral arteriovenous malformation.Result All patients suffered from concurrent aneurysms,deep venous drainage,and single venous drainage.The male patients had small hemorrhagic cerebral arteriovenous malformations（P0.05）,whereas the females had larger malformations（P0.01）.Moreover,age did not have a significant influence on the malformation.Conclusion Hemorrhagic cerebral arteriovenous malformation,with concurrent aneurysms,deep venous drainage,single venous drainage,should be treated early to reduce morbidity and mortality.
出处
《解放军医学杂志》
CAS
CSCD
北大核心
2011年第12期1335-1337,共3页
Medical Journal of Chinese People's Liberation Army
关键词
颅内动静脉畸形
颅内出血
危险因素
LOGISTIC模型
intracranial arteriovenous malformations
intracranial hemorrhages
risk factors
logistic models
