去骨瓣减压术治疗恶性脑静脉窦血栓形成  

Decompressive craniotomy for malignant cerebral venous sinus thrombosis

作　　者：周玲 董立英 高福祥 Zhou Ling;Dong Liying;Gao Fuxiang(CT Room,Xinle City Hospital,Shijiazhuang 050700,China;Department of Neurosurgery,Xinle City Hospital,Shijiazhuang 050700,China)

机构地区：[1]河北省新乐市医院CT室,石家庄050700 [2]河北省新乐市医院神经外科,石家庄050700

出　　处：《国际脑血管病杂志》2023年第1期72-75,共4页International Journal of Cerebrovascular Diseases

摘　　要：脑静脉窦血栓形成(cerebral venous sinus thrombosis,CVST)是一种少见的脑血管病类型,约占所有卒中的0.5%。约4%的CVST患者发生幕上脑实质病变以及足以引起脑疝和神经功能恶化的脑水肿。这类CVST常被称为恶性CVST,是指发病时或经肝素治疗恶化后,导致幕上皮质病变(出血或出血)并伴有小脑幕裂孔疝形成的临床(意识下降或丧失,单侧或双侧瞳孔散大)和影像学征象的CVST。对于恶性CVST患者,去骨瓣减压术不仅是挽救生命的治疗措施,而且能够使多数患者实现良好功能转归。Cerebral venous sinus thrombosis(CVST)is a rare type of cerebrovascular disease,accounting for about 0.5%of all strokes.About 4%of patients with CVST have supratentorial brain parenchymal lesions and brain edema sufficient to cause brain hernia and neurological deterioration,which is called malignant CVST.Malignant CVST refers to the clinical(loss of consciousness,unilateral or bilateral pupil dilation)and imaging signs of supratentorial cortical lesions(ischemia or hemorrhage)accompanied by tentorial hiatal hernia formation at the onset or after treatment with heparin.For patients with malignant CVST,decompressive craniectomy is not only a life-saving treatment,but also can make most patients achieve good functional outcome.

关 键 词：窦血栓形成 颅内 脑水肿 颅骨切开术 减压术 外科 治疗结果 

分 类 号：R651.12[医药卫生—外科学]