CAJ | 학술논문

目的：探讨球囊扩张成型与取栓治疗颅内静脉窦血栓的疗效和安全性。方法24例经DSA检查证实颅内静脉窦血栓形成患者，采用颅内静脉窦内球囊扩张成型及取栓手术，使静脉窦即时再通，术后抗凝治疗6个月。结果24例上矢状窦及横窦血栓患者，微导管与微导丝配合，逆行进至上矢状窦中前1/3处，直径5 mm球囊沿微导丝进至该处。充盈球囊，透视监视下回拉球囊，使闭塞的静脉窦再通。临床症状均得到改善。术后随访12～48个月，平均随访30.3个月，随访期间，未见血栓再发者。结论颅内静脉窦球囊扩张成型与取栓治疗是颅内静脉窦血栓安全、有效的治疗手段。
목적：탐토구낭확장성형여취전치료로내정맥두혈전적료효화안전성。방법24례경DSA검사증실로내정맥두혈전형성환자，채용로내정맥두내구낭확장성형급취전수술，사정맥두즉시재통，술후항응치료6개월。결과24례상시상두급횡두혈전환자，미도관여미도사배합，역행진지상시상두중전1/3처，직경5 mm구낭연미도사진지해처。충영구낭，투시감시하회랍구낭，사폐새적정맥두재통。림상증상균득도개선。술후수방12～48개월，평균수방30.3개월，수방기간，미견혈전재발자。결론로내정맥두구낭확장성형여취전치료시로내정맥두혈전안전、유효적치료수단。
Objective To investigate the curative effect of ballon dilatation and thrombus extraction treating the cerebral venous sinus thrombosis (CVST ) .Methods 24 cases of DSA-confirmed CVST were treated with balloon dilatation and thrombus extraction .Results 24 patients with superior sagittal sinus and transverse sinus thrombus were treated with balloon dilatation and thrombus extraction to make the venous sinus recanalization and the clinical symptoms of patients were improved . After postoperative follow-up 12-48 months ,no thrombus was reformatted for all patients .Conclusion The balloon dilatation and thrombus extraction methods are safety and effective treatment for patients with cerebral venous sinus thrombosis .