目的观察颅内动脉瘤栓塞术后患者再出血和复发的影响因素.方法采取回顾性分析对2009年12月至2012年4月期间在我院接受栓塞治疗的126例患者，分析颅内动脉瘤直径以及颅内不同部位的动脉瘤再出血和复发的情况.结果≤5 mm 颅内动脉瘤直径的栓塞并发症的发生率明显低于5~10 mm 颅内动脉瘤直径和10~25 mm 颅内动脉瘤直径栓塞并发症的发生率，有统计学差异(P<0.05)；颈内动脉和后交通动脉瘤(PCOA+ICA)的栓塞并发症的发生率明显低于前交通动脉瘤(ACOA)、大脑中动脉瘤(MCA)以及大脑后动脉瘤(PCA)的发生率，差异有统计学意义(P<0.05).结论颅内动脉瘤直径越小，栓塞并发症的发生率越低；颈内动脉和后交通动脉瘤(PCOA+ICA)的栓塞并发症的发生率低.% Objective To explore the influencing factors of recrudesce and rehaemorrhagia of patients after intracranial aneurysm embolism surgery.. Methods We retrospective analyzed 126 cases that had embolotherapy in our hospital from Dec 2009 to April 2012, and analyzed the recrudesce and rehaemorrhagia of patients with different tumor diameters and different anatomical positions of intracranial aneurysm. Results Patients with the tumor diameter no more than 5 mm had lower inci-dence of complications of embolism than those with tumor diameter of 5 mm~10 mm and those with tumor diameter of 10 mm~25 mm, and the difference were of statistical significance (P<0.05). Patients with the PCOA+ICA had obviously lower incidence of embolism than those with ACOA, MCA or PCA, and differences were also of statistical significance (P<0.05). Conclusion The smaller intracranial aneurysm diameter, the lower incidence of the complications of embolism. Patients with internal carotid artery and posterior communicating artery aneurysms suffered a lower incidence of embolism complication.
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