经动静脉双途径介入治疗脑静脉窦血栓形成  

Treatment of Cerebral Venous Sinus Thrombosis by Dual-Channel Arterio-Venous System Intervention

作　　者：徐树彬[1] 崔进国[1] 梁志会[1] 田惠琴[1] 李亮[1] 陈峰[1] 

机构地区：[1]解放军白求恩国际和平医院血管外科,石家庄050082

出　　处：《临床误诊误治》2010年第3期217-218,F0003,共3页Clinical Misdiagnosis & Mistherapy

摘　　要：目的探讨经动静脉双途径介入治疗脑静脉窦血栓形成(cerebral venous sinus thrombosis,CVST)的疗效和安全性。方法对我院2005年8月～2008年5月收治的15例CVST均行经静脉插管接触性溶栓治疗,其中6例又接受了经动脉溶栓,术后继续抗凝治疗6个月。结果本组13例临床症状和体征得到缓解或部分缓解,其中11例头痛消失,2例存在轻度头痛;余2例病程较长者残留语言功能障碍。所有患者腰椎穿刺脑脊液压力恢复正常,未再发生血栓形成及新的神经功能症状。术中、术后亦未发生与操作相关的颅内或全身出血并发症。结论经动静脉双途径介入治疗CVST能使闭塞的静脉窦恢复再通,有效缓解颅内高压症状,是CVST安全、有效的治疗手段。Objective To evaluate the dual-channel arteriovenous interventional treatment of cerebral venous sinus thrombosis （cerebral venous sinus thrombosis, CVST） , its efficaey and safety. Methods 15 CVST patients hospitalized during August 2005 and May 2008 were given thrombolytic therapy via venous catheter, among whom 6 patients received intra-arterial thrombolysis and continued anticoagulation therapy for 6 months. Results After thrombolysis, symptoms and signs improved obviously in 13 patients, 11 patients did not suffer from headaches any more, 2 patients had only mild headaches. 2 patients undergoing a longer course suffered from language dysfunction. Lumbar puncture eerebrospinal fluid pressure returned to normal in all the patients, who did not suffer from recurrence of thrombolysis and neurological dysfunction. There were no intraoperative and postoperative intracalvarium or systemic bleeding complications. Conclusion The inter- ventional treatment of arteriovenous approachs of CVST can restore venous sinus recanalization and effectively alleviate the symptoms of intracranial hypertension. It is an effective and safe therapeutic approach for CVST.

关 键 词：窦血栓形成 颅内 静脉 动脉 血栓溶解疗法 

分 类 号：R743.32[医药卫生—神经病学与精神病学]