CAJ | 학술논문

目的探讨经血管内应用支架成形治疗源于静脉窦狭窄的搏动性耳鸣的有效性和安全性.方法对解放军总医院神经外科2010年1月至2011年7月收治的12例源于静脉窦狭窄的搏动性耳鸣进行支架成形治疗,全部患者经数字减影血管造影检查确诊,均表现为与耳鸣同侧的横窦、乙状窦交界处狭窄；并接受横窦、乙状窦狭窄处静脉窦支架植入术.结果术后12例患者的搏动性耳鸣症状立即消失；没有发生相关并发症.随访1～20个月,搏动性耳鸣均无复发.结论应用支架成形治疗难治性源于静脉窦狭窄的搏动性耳鸣是一种安全有效的方式.
목적 탐토경혈관내응용지가성형치료원우정맥두협착적박동성이명적유효성화안전성.방법 대해방군총의원신경외과2010년1월지2011년7월수치적12례원우정맥두협착적박동성이명진행지가성형치료,전부환자경수자감영혈관조영검사학진,균표현위여이명동측적횡두、을상두교계처협착；병접수횡두、을상두협착처정맥두지가식입술.결과 술후12례환자적박동성이명증상립즉소실；몰유발생상관병발증.수방1～20개월,박동성이명균무복발.결론 응용지가성형치료난치성원우정맥두협착적박동성이명시일충안전유효적방식.
Objective To evaluate the application,effectiveness and safety of stenting in venous sinus stenosis for intractable pulsatile tinnitus via endovascular treatment.Methods From January 2010 to July 2011,12 cases with intractable pulsatile tinnitus originating from cerebral venous sinus stenosis underwent steuting treatment.All of them were diagnosed by digital subtraction angiography (DSA).There was ipsolateral stenosis in junction segment of sigmoid and transverse sinuses.The diverticulum of sigmoid sinus was found in 6 cases.Eleven patients underwent stenting placement and angioplasty for venous sinus stenosis.Results All pulsatile tinnitus symptoms disappeared immediately after stenting. No related complication was found during stenting and over a follow-up period of 3 - 22 months. There was no recurrence of pulsatile tinnitus.Conclusions Stent placement is a safe and effective procedure for pulsatile tinnitus with cerebral venous sinus stenosis.