分析颅内静脉窦损伤的临床特点和手术技巧  

Clinical characteristics and surgical techniques of intracranial venous sinus injury

作　　者：江春香 

机构地区：[1]重庆市云阳县人民医院神经外科,404500

出　　处：《齐齐哈尔医学院学报》2016年第6期763-764,共2页Journal of Qiqihar Medical University

摘　　要：目的探讨分析颅内静脉窦损伤的临床特点和手术应用效果。方法选取45例颅内静脉窦损伤患者,均是2014年5月至2015年5月在我院进行诊疗的患者,对患者的临床特点进行分类总结,针对患者的病况特点,分别给予患者不同的手术方式,对手术效果进行比对分析。结果上矢状窦损伤患者占51.11%,横窦损伤患者占35.56%,窦汇损伤占13.33%;临床总有效为86.67%,治愈占55.56%,硬脑膜瓣修补手术治愈率(28.89%)和缝合悬吊手术治愈率(13.33%)相对较高;好转占31.11%,间断缝合手术好转率(11.11%)和明胶海绵加湿棉片压迫(8.89%)相对较高。结论静脉窦损伤是临床上治疗较为复杂的疾病,临床上要根据该病的临床特点,采用针对性的手术方式对疾病治疗起着关键性作用,值得临床上进一步深入研究。Objective To investigate the clinical characteristics and surgical treatment of intracranial venous sinus injury. Methods From may 2014 to may 2015 45 cases of intracranial venous sinus injury in our hospital for diagnosis and treatment,the clinical characteristics of patients were summarized and classified,according to the characteristics of the patient＇s illness,were treated with different operative methods,to analyze the effect of surgery. Results The superior sagittal sinus injury accounted for 51. 11%,transverse sinus injury patients accounted for 35. 56% and torcular injury（ 13. 33%）; clinical total effective rate was 86. 67%,cure accounted for 55. 56%,surgical repair of the dura mater valve cure rate（ 28. 89%） and suture suspension surgery cure rate（ 13. 33%） was relatively high; improved rate for 31. 11%,intermittent suture improvement rate for 11. 11% and gelatin sponge wet cotton piece oppression（ 8. 89%） were relatively high. Conclusions Venous sinus injury is a complicated disease in clinic,based on the clinical characteristics of the disease to treat is a key role in the treatment of disease.

关 键 词：颅内静脉窦损伤 临床特点 手术技巧 

分 类 号：R651.15[医药卫生—外科学]