脑静脉窦血栓形成血管内治疗现状与问题  

Current status and problems of endovascular treatment for cerebral venous sinus thrombosis

作　　者：莫大鹏[1] 吕日琅 MO Da-peng;LüRi-lang(Department of Intervention Neurology,Beijing Tiantan Hospital,Capital Medical University,Beijing 100070,China;Department of Neurology,No.215 Hospital of Shaanxi Nuclear Industry,Xianyang 712000,Shaanxi,China)

机构地区：[1]首都医科大学附属北京天坛医院神经介入中心,100070 [2]陕西省核工业二一五医院神经内科,咸阳712000

出　　处：《中国现代神经疾病杂志》2022年第6期445-449,共5页Chinese Journal of Contemporary Neurology and Neurosurgery

基　　金：北京市自然科学基金资助项目(项目编号:7172070)。

摘　　要：脑静脉窦血栓形成(CVST)是一种特殊的脑卒中类型,抗凝治疗是其主要治疗方式,但对于抗凝治疗无效的重症CVST患者,病死率较高,血管内治疗可改善此类患者预后。目前尚缺乏有关CVST血管内治疗的大型随机对照临床试验证据,血管内治疗的有效性和安全性值得商榷。本文概述近年来CVST血管内治疗的研究现状及存在问题,以指导临床实践。Cerebral venous sinus thrombosis(CVST) is a special type of stroke. At present,anticoagulant therapy is the main treatment, but the mortality rate is higher in severe patients withineffective anticoagulant therapy, and endovascular treatment can improve the prognosis of these patients.However, there is a lack of large randomized controlled trials to verify the endovascular treatment of CVSTcurrently, so the effectiveness and safety of endovascular treatment is questionable. This article is toanalyze the current status and problems of endovascular treatment for CVST in recent years, in order toguide clinical practice.

关 键 词：窦血栓形成 颅内 脑静脉 机械溶栓 综述 

分 类 号：R743.3[医药卫生—神经病学与精神病学]