脑静脉窦血栓形成的影像学特点及脑实质病变预测  

Imaging Features of Cerebral Venous Sinus Thrombosis and Prediction of Brain Parenchymal Lesions

作　　者：王乐 郑鹏宇 赵峻萱 崔俊铭 王兰 WANG Le;ZHENG Peng-yu;ZHAO Jun-xuan;CUI Jun-ming;WANG Lan(CT-MR room,The Central Hospital of Yingkou,Yingkou,115000,China)

机构地区：[1]营口市中心医院CT-MR室,营口115000

出　　处：《血栓与止血学》2021年第3期371-373,共3页Chinese Journal of Thrombosis and Hemostasis

摘　　要：目的探讨脑静脉窦血栓形成(CVST)的影像学特点及预测脑实质病变。方法以25例CVST患者为对象,患者均接受磁共振(MRI)检查,分析CVST患者MRI临床特征。结果25例CVST中上矢状窦4例(16.00%)、横窦1例(4.00%)、乙状窦1例(4.00%)、2个或2个以上静脉窦受累19例(76.00%)。25例CVST患者中,出现脑实质病变16例(64.00%),其中出血性静脉梗死9例(56.25%)、非出血性静脉梗死5例(31.25%)、脑实质出血2例(12.50%)。脑实质病变组与非脑实质病变组在头痛、感觉变化、局灶神经功能缺失方面比较差异显著(P<0.05)。结论MRI检查可准确显示CVST静脉窦血栓的直接征象及伴随的病变,是诊断静脉窦血栓形成的有效手段。对CVST患者的临床及MRI特征分析可预测CVST患者发生脑实质病变。Objective To explore the imaging characteristics of cerebral sinus thrombosis(CVST)and to predict the essential lesions of the brain.Methods For 25 patients with CVST,the patients were examined with magnetic resonance(MRI)to analyze the clinical characteristics of MRI in CVST patients.Results In 25 cases,4 cases(16.00%),1 case(4.00%)of cross sinuses,1 case of ethylene sinuses(4.00%),2 or more sinuses were affected 19 cases(76.00%).of the 25 patients with CVST,16 cases(64.00%)of cerebral substance lesions were found,of which 9 cases(56.25%)were hemorrhagic venous infarction,5 cases of non-hemorrhagic venous infarction(31.25%)and 2 cases(12.50%)of cerebral infarction.There were significant differences between the encephalopathic group and the non-brain essential lesions group in terms of headache,sensory changes,and the loss of neurological function(P<0.05).Conclusion MRI examination can accurately show the direct signs and accompanying lesions of CVST sinus thrombosis,and is an effective means to diagnose sinus thrombosis.The clinical and MRI characteristic analysis of CVST patients can predict the occurrence of cerebral essential lesions in CVST patients.

关 键 词：脑静脉窦血栓形成 影像学特点 脑实质病变 

分 类 号：R743[医药卫生—神经病学与精神病学]