Yadav Chandra Prakash, Shen Jie, Karki Mohan, Zhao Bing
Department of Neurosurgery, Cerebral Vascular Disease Research Center, The Second Affiliated Hospital of Anhui Medical University, Anhui Medical University, 678 Fu Rong Road, Hefei, Anhui Province, China.
Anhui Medical University, Hefei, 230601, Anhui, China.
Acta Neurochir (Wien). 2016 Nov;158(11):2067-2074. doi: 10.1007/s00701-016-2967-1. Epub 2016 Sep 28.
To investigate whether associations exist between venous drainage subtypes (types I, II, and III) and the risk of subarachnoid hemorrhage subtypes.
Published case-control and case series from 2010 to 2014 which met all the inclusion criteria for the meta-analysis were selected and subjected to rigorous statistical analysis.
A total of 11 studies with an overall patient population (case and controls) of 891 were involved in the study. Types I and II venous drainage had odds against peri-mesencephalic subarachnoid hemorrhage. The odds were in favor of type III venous drainage and peri-mesencephalic sub-arachnoid hemorrhage and idiopathic sub-arachnoid hemorrhage (ISAH).
Type I deep venous drainage may not be associated with the risks of peri-mesencephalic subarachnoid hemorrhage and ISAH, however, types II and III may be associated with high risk of peri-mesencephalic subarachnoid hemorrhage and ISAH, respectively.
探讨静脉引流亚型(I型、II型和III型)与蛛网膜下腔出血亚型风险之间是否存在关联。
选取2010年至2014年发表的符合荟萃分析所有纳入标准的病例对照研究和病例系列研究,并进行严格的统计分析。
共有11项研究纳入了891名患者(病例组和对照组)。I型和II型静脉引流与中脑周围蛛网膜下腔出血的发生几率呈负相关。这些几率有利于III型静脉引流以及中脑周围蛛网膜下腔出血和特发性蛛网膜下腔出血(ISAH)。
I型深静脉引流可能与中脑周围蛛网膜下腔出血和ISAH的风险无关,然而,II型和III型可能分别与中脑周围蛛网膜下腔出血和ISAH的高风险相关。