血管重建术治疗烟雾病术后并发症发生及其影响因素评价

Evaluation of postoperative complications and its influencing factors in the treatment of moyamoya disease with revascularization

目的探讨血管重建术治疗烟雾病术后并发症发生及其影响因素。方法选取2016年2月至2018年5月本院收治行血管重建术治疗的烟雾病患者150例作为研究对象,观察治疗后并发症发生率,并分析术后引起并发症因素。结果 150例患者经血管重建术治疗后并发症发生率为36.00%,神经性并发症发生率与非神经性并发症发生率相比差异具有统计学意义(P<0.05)。150例患者在年龄、术前出血、术前缺血、高血压病史、手术方法等因素对比差异具有统计学意义(P<0.05);而在性别、吸烟、饮酒、合并慢性病、铃木分期对比中差异无统计学意义。结论烟雾病术后并发症发生的独立危险因素有年龄、术前出血、术前缺血、高血压病史、手术方法等,临床上需根据患者具体情况实施相应干预措施。

Objective To investigate the postoperative complications of vascular reconstruction in the treatment of moyamoya disease and its influencing factors. Methods A total of 150 patients with moyamoya disease who underwent revascularization from February 2016 to May 2018 were enrolled. The incidence of postoperative complication was observed and the postoperative complications were analyzed. Results The incidence of complications in 150 patients after revascularization was 36.00%. The incidence of neurological complications was significantly different compared that of non-neurological complications(P<0.05). The difference in age, preoperative bleeding, preoperative ischemia, history of hypertension and surgical methods were statistically significant(P<0.05). However, smoking, drinking, chronic disease, and Suzuki staging compared, the difference was not statistically significant. Conclusion The independent risk factors for postoperative complications of moyamoya disease include age, preoperative hemorrhage, preoperative ischemia, history of hypertension, and surgical methods. Clinical interventions should be implemented according to the specific conditions of patients.