动脉瘤圆顶方向与患者在破裂前沟通动脉动脉瘤手术后的结果之间的相关性
Ashis Patnaik1, Jaidev S1, Arunkumar Sekar1
1Department of Neurosurgery, All India Institute of Medical Sciences, Bhubaneswar, Bhubaneswar, IND.
Cureus
|November 30, 2023
概括
前部通讯动脉动脉瘤的手术剪切是持久的. 动脉瘤圆顶方向与术后并发症没有显著的相关性,尽管高级预测显示了较少的手术内断裂.
科学领域:
- 神经外科 神经外科
- 血管神经学 血管神经学
- 放射学 放射学是指放射学
背景情况:
- 前沟通动脉动脉瘤是最常见的内动脉瘤.
- 开放的手术剪切是对Acom动脉瘤最持久的治疗方法.
- 动脉瘤圆顶方向对手术结果的影响还不清楚.
研究的目的:
- 分析动脉瘤圆顶方向和破裂的Acom动脉动脉瘤的手术剪切后患者的结果之间的相关性.
主要方法:
- 从48名因Acom动脉瘤破裂而接受手术的患者进行了回顾性和前性数据收集.
- 术前CT血管造影用于所有患者.
- 对手术前,手术内和手术后变量的分析,与动脉瘤圆顶方向相关.
主要成果:
- 在动脉瘤圆顶方向和术后并发症之间没有发现统计学意义上的关联 (p=0.93).
- 高度突出的动脉瘤具有最低的手术内破裂率.
- 在三个月的随访期间,结果受到圆顶投影的影响.
结论:
- 动脉瘤圆顶投射在这个队列中没有显著影响术后并发症率.
- 高度定向动脉瘤显示,手术内破裂的发生率较低.
- 需要进一步的研究,以充分了解圆顶投射对Acom动脉瘤管理的影响.
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