腔内血管成形术治疗慢性脑脊髓静脉机能不全  

Endovascular angioplasty in treatment of chronic cerebrospinal venous insufficiency

作　　者：陈宏宇[1] 吴佳云 戴贻权[1] 庄晖[1] 詹腾辉[1] 郭平凡[1] CHEN Hongyu;WU Jiayun;DAI Yiquan;ZHUANG Hui;ZHAN Tenghui;GUO Pingfan(Department of Vascular Surgery,the First Affiliated Hospital of Fujian Medical University,Fuzhou 350004,China)

机构地区：[1]福建医科大学附属第一医院血管外科,福建福州350004

出　　处：《中国介入影像与治疗学》2018年第9期526-529,共4页Chinese Journal of Interventional Imaging and Therapy

摘　　要：目的探讨腔内治疗慢性脑脊髓静脉瓣膜机能不全的安全性和有效性。方法回顾性分析44例接受腔内治疗的慢性脑脊髓静脉瓣膜机能不全的患者资料。结果 44例中,38例单纯接受PTA,6例接受PTA联合支架植入术。手术成功率为100%(44/44)。术后随访3个月,无严重并发症发生,头晕障碍量表评分由腔内治疗前(31.14±8.69)分降至腔内治疗后(12.23±9.52)分(t=13.378,P<0.01)。结论腔内治疗CCSVI短期安全、有效,但远期疗效仍需进一步随访。Objective To explore the efficacy and safety of endovascular angioplasty in treatment of chronic cerebrovascular venous insufficiency(CCSVI).Methods Totally 44 CCSVI patients who underwent endovascular treatment were retrospectively analyzed.Results Among 44 patients with CCSVI,38 underwent PTA alone and 6 underwent PTA combined with stent implantation.The operation success rate was 100%(44/44).After 3 months'following-up,no severe complication occurred.The mean score of dizziness handicap inventory decreased from(31.14±8.69)preoperatively to(12.23±9.52)postoperatively(t=13.378,P<0.01).Conclusion Endovascular treatment of CCSVI is safe and effective in short-term.Long-term results require further following-up.

关 键 词：慢性脑脊髓静脉功能不全 腔内治疗 

分 类 号：R654.3[医药卫生—外科学] R454[医药卫生—临床医学]