[1]王子博,郭新宾,管 生,等. 介入治疗重型颅内静脉窦血栓[J].介入放射学杂志,2013,(05):361-364.
 WANG Zi? bo,GUO Xin? bin,GUAN Sheng,et al. Endovascular treatment for severe cerebral venous sinus thrombosis[J].journal interventional radiology,2013,(05):361-364.
点击复制

 介入治疗重型颅内静脉窦血栓 ()

PDF下载中关闭

分享到:

《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2013年05期
页码:
361-364
栏目:
神经介入
出版日期:
2013-05-22

文章信息/Info

Title:
 Endovascular treatment for severe cerebral venous sinus thrombosis
作者:
 王子博 郭新宾 管 生 刘 朝
Author(s):
 WANG Zi?蛳 bo GUO Xin?蛳 bin GUAN Sheng LIU Chao.
  Department of Interventional Radiology, the First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China
关键词:
 【关键词】 血栓形成 静脉窦 上矢状窦 溶栓治疗
文献标志码:
A
摘要:
 【摘要】 目的 评估对传统抗凝疗法无效的重型颅内静脉窦血栓患者采用窦内溶栓法的安全性和有效性。方法 2009年1月至2012年7期收治50例颅内静脉窦血栓患者,均采用窦内溶栓(通过微导管将尿激酶灌注到静脉窦内)治疗。临床随访6个月,期间多次复查磁共振静脉造影,评估静脉窦的再通情况。分析患者的流行病学、影像学和临床资料。结果 50例中,34例(68%)痊愈,11例(22%)在生活自理方面稍受影响,2例遗留有中度神经功能障碍,3例死亡。36例患者(72%)术后证实上矢状窦完全再通。在6个月的随访过程中,45例患者(90%)无明显临床症状。结论 窦内溶栓是治疗重型颅内静脉窦血栓的安全、有效的治疗手段。

参考文献/References:

 [1] Bousser MG, Ferro JM. Cerebral venous thrombosis: an update[J]. Lancet Neurol, 2007, 6: 162-170.
[2] 冯 璞, 黄旭升, 郎森阳, 等. 影响颅内静脉窦和静脉血栓形成正确诊断的因素与诊断探讨[J]. 中华神经科杂志, 2001: 148.
[3] Gosk?蛳 Bierska I, Wysokinski W, Brown RD Jr, et al. Cerebral venous sinus thrombosis: Incidence of venous thrombosis recurrence and survival[J]. Neurology, 2006, 67: 814 ?蛳 819.
[4] 苏克江, 宋 扬. 脑静脉窦血栓形成的临床研究现状[J]. 国外医学?脑血管疾病分册, 2001, 9: 91 ?蛳 93.
[5] de Bruijn SF, de Haan RJ, Stam J. Clinical features and prognostic factors of cerebral venous sinus thrombosis in a prospective series of 59 patients. For The Cerebral Venous Sinus Thrombosis Study Group[J]. J Neurol Neurosurg Psychiatry, 2001, 70: 105 ?蛳 108.
[6] Rahman M, Velat GJ, Hoh BL, et al. Direct thrombolysis for cerebral venous sinus thrombosis[J]. Neurosurg Focus, 2009, 27: E7.
[7] Frey JL, Muro GJ, Mcdougall CG, et al. Cerebral venous thrombosis: combined intrathrombus rtPA and intravenous heparin[J]. Stroke, 1999, 30: 489 ?蛳 494.
[8] Newman CB, Pakbaz RS, Nguyen AD, et al. Endovascular treatment of extensive cerebral sinus thrombosis[J]. J Neurosurg, 2009, 110: 442 ?蛳 445.
[9] Kumar S, Rajshekher G, Reddy CR, et al. Intrasinus thrombo?蛳 lysis in cerebral venous sinus thrombosis: single?蛳 center experi?蛳 ence in 19 patients[J]. Neurol India, 2010, 58: 225 ?蛳 229.
[10] Stolz E, Gerriets T, B?觟deker RH, et al. Intracranial venous hemodynamics is a factor related to a favorable outcome in cerebral venous thrombosis[J]. Stroke, 2002, 33: 1645 ?蛳 1650.
[11] 李宝民, 张 纪, 黄旭升, 等. 经血管内治疗多发性脑静脉窦血栓[J]. 中华神经外科杂志, 1997, 13: 12 ?蛳 14.
[12] Kim Y, Suh JH. Direct endovascular thrombolytic therapy for dural sinusthrombosis: infusion of altepase[J]. Am J Neu roradiol, 1997, 18: 639 ?蛳 645.
[13] 李宝民, 张 纪, 尹 岭, 等. 多发性脑静脉和静脉窦血栓的诊断和溶栓治疗[J]. 介入放射学杂志, 2000, 9: 135 ?蛳 138.
[14] Hocker SE, Dafer RM, Hacein?蛳 Bey L. Successful delayed throm?蛳 bolysis for cerebral venous and dural sinus thrombosis: a case report and review of the literature[J]. J Stroke Cerebrovasc Dis, 2008, 17: 429 ?蛳 432.
[15] Tsai FY, Kostanian V, Rivera M, et al. Cerebral venous conges?蛳 tion as indication for thrombolytic treatment[J]. Cardiovasc Intervent Radiol, 2007, 30: 675 ?蛳 687.
[16] Yamini B, Loch Macdonald R, Rosenblum J. Treatment of deep cerebral venous thrombosis by local infusion of tissue plasmino?蛳 gen activator[J]. Surg Neurol, 2001, 55: 340 ?蛳 346.
[17] Buccino G, Scoditti U, Pini M, et al. Loco?蛳 regional thrombolysis in the treatment of cerebral venous and sinus thrombosis: report of two cases[J]. Acta Neurol Scand, 2001, 103: 59 ?蛳 63.
[18] Stam J, Majoie CB, van Delden OM, et al. Endovascular throm?蛳 bectomy and thrombolysis for severe cerebral sinus thrombosis: a prospective study[J]. Stroke, 2008, 39: 1487 ?蛳 1490.

相似文献/References:

[1]张 琳,黄学全,王健,等.自主研发电化学治疗同轴电极与传统针式电极电解效应的对比研究[J].介入放射学杂志,2012,(02):148.
 ZHANG Lin,HUANG Xue-quan,WANG Jian,et al.The electrolytic effect in electrochemotherapy: a comparative study between self-prepared coaxial electrode and conventional needle electrode[J].journal interventional radiology,2012,(05):148.
[2]赵 玮,王伟中,陈莹,等.耳部动静脉畸形供血动脉的血管造影研究[J].介入放射学杂志,2012,(02):103.
 ZHAO Wei,WANG Wei-zhong,CHEN Ying,et al.Angiographic findings of the feeding arteries of auricular arteriovenous malformations[J].journal interventional radiology,2012,(05):103.
[3]邹俊民,龙世娟,张振明. 改良髂内动脉化疗联合放疗治疗Ⅲ~Ⅳa期 子宫颈癌32例[J].介入放射学杂志,2012,(02):123.
 ZOU Jun-min,LONG Shi-Juan,ZHANG Zheng-ming..Improved internal iliac artery chemotherapy combined with radiotherapy for the treatment of stage Ⅲ-Ⅳa cervical cancers[J].journal interventional radiology,2012,(05):123.
[4]王昌明,李 选,宋世兵,等.肝门部胆道引流管折叠技术在肝移植后胆道非吻合口狭窄治疗中的应用[J].介入放射学杂志,2012,(02):136.
 WANG Chang-ming,LI Xuan,SONG Shi-bing,et al.The application of biliary catheter folding technique in the treatment of hilar nonanastomotic biliary strictures after orthotopic liver transplantation[J].journal interventional radiology,2012,(05):136.
[5]赵玉峰,孙玉琴,韩晓静,等. 输卵管介入再通术后受孕时机的研究[J].介入放射学杂志,2012,(02):158.
 ZHAO Yu-feng,SUN Yu-qin,HAN Xiao-jing,et al.The optimal time for conception after fallopian tube recanalization therapy[J].journal interventional radiology,2012,(05):158.
[6]含 笑,曹建民,史东宏,等.吉西他滨、顺铂动静脉联合化疗治疗晚期非小细胞肺癌的近期疗效分析[J].介入放射学杂志,2012,(02):119.
 HAN Xiao,CAO Jian-min,SHI Dong-hong,et al.Bronchial artery infusion of Gemcitabine and Cisplatin combined with systemic chemotherapy for advanced non-small cell lung cancer: its short-term efficacy[J].journal interventional radiology,2012,(05):119.
[7]姚雪松,李 槐.不可手术切除的肝细胞癌的疗效评价标准——改良RECIST标准更可靠[J].介入放射学杂志,2012,(03):177.
 . Therapeutic evaluation criterion of inoperable hepatocellular carcinomas: modified RECIST as a more reliable standard[J].journal interventional radiology,2012,(05):177.
[8]齐 立,李慎茂,俸军林,等. 动脉溶栓与机械碎栓联合动脉溶栓的对比分析[J].介入放射学杂志,2012,(03):180.
 ,,et al. Comparison of the therapeutic efficacy between simple arterial thrombolysis and mechanical thrombectomy combined with arterial thrombolysis for acute cerebral infarction at its ultraearly stage[J].journal interventional radiology,2012,(05):180.
[9]石 潆,赵 卫,沈 进,等.脑动静脉畸形栓塞治疗术并发颅内出血的原因及处理[J].介入放射学杂志,2012,(03):185.
 ,,et al.Intracranial hemorrhage due to embolization therapy for cerebral arteriovenous malformation: its causes and management [J].journal interventional radiology,2012,(05):185.
[10]周 慷,李晓光,金征宇,等.清宫术前子宫动脉化疗栓塞术治疗瘢痕妊娠的疗效分析[J].介入放射学杂志,2012,(03):190.
 ,,et al.Therapeutic analysis of bilateral uterine artery chemoembolization performed before uterine dilation and curettage for cesarean scar pregnancy [J].journal interventional radiology,2012,(05):190.

备注/Memo

备注/Memo:
(收稿日期:2012-10-12) 
更新日期/Last Update: