脑静脉窦血栓形成的血管内溶栓治疗  

Endovascular Treatment for Cranial Venous Sinus Thrombosis

作　　者：陈光辉[1] 叶飞[1] 秦碧勇[1] 席刚明[1] 

机构地区：[1]湖北医药学院附属人民医院神经内科,湖北十堰442000

出　　处：《神经损伤与功能重建》2011年第1期44-47,共4页Neural Injury and Functional Reconstruction

摘　　要：目的:总结血管内溶栓治疗脑静脉窦血栓形成(CVST)患者的经验。方法:分析我科20例行静脉窦置管溶栓治疗的CVST患者的术前、术后症状、体征及影像学变化。结果:16例静脉窦完全再通,3例部分再通,1例无明显变化。10例患者症状完全消失或遗留轻微症状,6例症状部分改善,3例撤管时症状无变化,1例症状加重,CT示颅内点状渗血。无1例复发。结论:血管内溶栓治疗CVST可提高再通率,相对安全、有效,但远期疗效仍需进一步观察。Objective：To review the experience of endovascular treatment for cranial venous sinus thrombosis（CVST）.Methods：Endovascular treatment was performed in 20 patients with CVST.The symptoms,physical signs and imaging were documented.Results：Of the 20 patients after endovascular treatment,sixteen had completed recanalization and three had partial recanalization.One case remained unchanged.Ten patients experienced complete recovery or with mild neurologic symptoms.Six patients improved partially.No symptomatic improvements was documented in 3 cases.Unfortunately,one case showed aggravating symptoms and intracranial petechial hemorrhage was evident on computerized tomography.Conclusion：Endovascular treatment for intracranial venous thrombosis is relative safe and feasible.However,the long-term effectiveness requires further investigation.

关 键 词：脑静脉窦血栓形成 血管内治疗 溶栓 

分 类 号：R741[医药卫生—神经病学与精神病学] R741.05[医药卫生—临床医学]