颅内静脉窦血栓形成与磁共振及血管造影分析研究  

Intracranial Venous Sinus Thrombosis with Magnetic Resonance Imaging and Angiography Analysis

作　　者：王怀敏 张聚斓 杨广君 

机构地区：[1]山东省聊城市阳谷县人民医院,252300

出　　处：《实用心脑肺血管病杂志》2011年第4期549-550,共2页Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease

摘　　要：目的探讨颅内静脉窦血栓形成（CVST）的临床特点,磁共振成像（MRI）、磁共振血管造影（MRA）及数字减影血管造影（DSA）对其诊断的价值及早期诊断、早期治疗的意义。方法总结64例经MRI、MRA、确诊为颅内静脉窦血栓形成的住院和急诊病人的临床资料及影像学特点。结果 30例病人无明确病因,发病时间4~9年,主要临床表现有颅内压增高及皮质受损表现。62例病人经MRI、MRA确诊,未确诊2例经DSA检查确诊。本组32例发病〈1个月的病人经静脉窦插管溶栓术及抗凝等治疗,症状和体征完全恢复或明显好转。本组28例行静脉窦插管溶栓术,20例病人症状和体征完全恢复。结论 CVST临床表现无特异性,MRI、MRA及DSA检查可确诊。发病早期（〈1个月）给予静脉窦插管溶栓术,症状和体征完全恢复几率大,临床上值得推广。Objective Of intracranial venous sinus thrombosis（CVST） the clinical features,magnetic resonance imaging（MRI）,magnetic resonance angiography（MRA） and digital subtraction angiography（DSA） for its diagnosis and early diagnosis,early treatment.Methods Summary of 64 cases by MRI,MRA,diagnosed as cerebral venous sinus thrombosis in hospital and emergency treatment of patients with clinical and imaging features.Results 30 patients without a clear etiology,4 to 9 years,the main clinical symptoms of increased intracranial pressure and cortical damage performance.62 cases of patients by MRI,MRA confirmed,not confirmed in 2 cases diagnosed by DSA.Incidence of 32 cases in this group lt;1 month of the patients to venous sinus catheterization thrombolysis and anticoagulation and other treatment,symptoms and recovered completely or improved markedly.The group of 28 patients venous catheter thrombolysis,signs and symptoms of 20 patients recovered completely.Conclusion CVST no specific clinical features,MRI,MRA and DSA,can be diagnosed.Early onset（lt;1 month） to the venous sinus catheterization surgery,symptoms and signs big chance of full recovery,the clinical worth promoti.

关 键 词：静脉窦血栓形成 磁共振成像 磁共振血管造影 数字减影血管造影术 静脉窦插管溶栓术 

分 类 号：R364.15[医药卫生—病理学]