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目的探讨颅内静脉窦血栓形成的原因及诊治。方法回顾分析本院收治的65例颅内静脉窦血栓形成患者的临床资料。结果65例患者均采用脱水治疗,其中20例患者直接行静脉溶栓,15例患者应用低分子肝素皮下注射7～25d,近期疗效评价:基本痊愈60例,好转5例。随访1～2年,所有患者未出现复发。结论静脉窦血栓形成临床表现虽然缺乏特异性,但随着MRI、MRV等技术的不断完善和发展,使其诊断率大大提高,其准确率高于MRI及MRA,它不仅能显示各静脉窦的充盈状态,还能显示颅内静脉窦闭塞的程度。而早期诊断以及静脉内溶栓技术的进步,对于提高本病的生存率,降低致残率,减少严重并发症有重要意义。
Objective To investigate the causes and diagnosis and treatment of intracranial venous sinus thrombosis. Methods The clinical data of 65 patients with intracranial venous sinus thrombosis admitted to our hospital were retrospectively analyzed. Results 65 patients were treated with dehydration. Among them, 20 patients received intravenous thrombolysis directly and 15 patients received subcutaneous injection of low molecular weight heparin for 7 ~ 25 days. The recent curative effect evaluation was basically cured in 60 cases and improved in 5 cases. Follow-up 1 to 2 years, all patients did not relapse. Conclusion Although the clinical manifestations of sinus venous thrombosis is lack of specificity, with the continuous improvement and development of MRI, MRV and other techniques, the diagnosis rate is greatly improved, and its accuracy rate is higher than that of MRI and MRA. It can not only display the venous sinus Filling state, but also shows the extent of intracranial sinus occlusion. The early diagnosis and progress of intravenous thrombolysis, for improving the survival rate of the disease, reduce the morbidity, reduce serious complications of great significance.