中国医药
中國醫藥
중국의약
CHINA MEDICINE
2013年
4期
470-471
,共2页
静脉血栓形成%头痛%颅内压
靜脈血栓形成%頭痛%顱內壓
정맥혈전형성%두통%로내압
Venous thrombosis%Headache%Intracranial pressure
目的 分析以头痛为首发症状的颅内静脉窦血栓形成(CVST)的头痛特点及其与脑脊液压力及静脉窦血栓部位的关系.方法 收集以头痛为首发症状并经数字减影血管造影(DSA)或头颅磁共振静脉成像(MRV)证实为CVST的117例患者的病历资料进行回顾性分析.结果 117例CVST患者中全头痛和非全头痛者分别占65.8％(77例)和34.2％(40例)；脑脊液压力增高、正常和减者低分别占79.5％(93例)、7.7％(9例)和12.8％(15例)；多静脉窦、双静脉窦和单静脉窦血栓形成者分别占44.4％(52例)、36.7％(43例)和18.8％(22例).全头痛组脑脊液压力升高、正常、减低的构成比分别为75.3％ (58/77)、9.1％ (7/77)、15.6％ (12/77),非全头痛组分别为87.5％ (35/40)、5.0％ (2/40)、7.5％ (3/40),2组脑脊液压力构成比的差异无统计学意义(P＞0.05).全头痛组与非全头痛组CVST部分分布差异无统计学意义(P＞0.05).结论 头痛为首发症状的CVST以全头痛为主,以多静脉窦血栓形成多见,多伴有颅内压增高,但对于颅内压正常尤其颅内压明显减低的头痛患者,也应注意CVST的可能.
目的 分析以頭痛為首髮癥狀的顱內靜脈竇血栓形成(CVST)的頭痛特點及其與腦脊液壓力及靜脈竇血栓部位的關繫.方法 收集以頭痛為首髮癥狀併經數字減影血管造影(DSA)或頭顱磁共振靜脈成像(MRV)證實為CVST的117例患者的病歷資料進行迴顧性分析.結果 117例CVST患者中全頭痛和非全頭痛者分彆佔65.8％(77例)和34.2％(40例)；腦脊液壓力增高、正常和減者低分彆佔79.5％(93例)、7.7％(9例)和12.8％(15例)；多靜脈竇、雙靜脈竇和單靜脈竇血栓形成者分彆佔44.4％(52例)、36.7％(43例)和18.8％(22例).全頭痛組腦脊液壓力升高、正常、減低的構成比分彆為75.3％ (58/77)、9.1％ (7/77)、15.6％ (12/77),非全頭痛組分彆為87.5％ (35/40)、5.0％ (2/40)、7.5％ (3/40),2組腦脊液壓力構成比的差異無統計學意義(P＞0.05).全頭痛組與非全頭痛組CVST部分分佈差異無統計學意義(P＞0.05).結論 頭痛為首髮癥狀的CVST以全頭痛為主,以多靜脈竇血栓形成多見,多伴有顱內壓增高,但對于顱內壓正常尤其顱內壓明顯減低的頭痛患者,也應註意CVST的可能.
목적 분석이두통위수발증상적로내정맥두혈전형성(CVST)적두통특점급기여뇌척액압력급정맥두혈전부위적관계.방법 수집이두통위수발증상병경수자감영혈관조영(DSA)혹두로자공진정맥성상(MRV)증실위CVST적117례환자적병력자료진행회고성분석.결과 117례CVST환자중전두통화비전두통자분별점65.8％(77례)화34.2％(40례)；뇌척액압력증고、정상화감자저분별점79.5％(93례)、7.7％(9례)화12.8％(15례)；다정맥두、쌍정맥두화단정맥두혈전형성자분별점44.4％(52례)、36.7％(43례)화18.8％(22례).전두통조뇌척액압력승고、정상、감저적구성비분별위75.3％ (58/77)、9.1％ (7/77)、15.6％ (12/77),비전두통조분별위87.5％ (35/40)、5.0％ (2/40)、7.5％ (3/40),2조뇌척액압력구성비적차이무통계학의의(P＞0.05).전두통조여비전두통조CVST부분분포차이무통계학의의(P＞0.05).결론 두통위수발증상적CVST이전두통위주,이다정맥두혈전형성다견,다반유로내압증고,단대우로내압정상우기로내압명현감저적두통환자,야응주의CVST적가능.
Objective To analyze the correlation of the characteristics of headache and intracranial pressure and the site of venous sinus thrombosis in cerebral venous sinus thrombosis (CVST) patients.Methods A retrospective review of 117 CVST patients data was performed.All patients were diagnosed by digital subtraction angiography (DSA) or magnetic resonance venography (MRV).And they were divided into full headache group (77 cases) and part headache group (40 cases).Intracranial pressure and the site of thrombosis of all CVST patients were reviewed.Results ①The percentage of full headache was 65.8％ (77/117).The percentage of high,normal and low intracranial pressure were 79.5％ (93/117),7.7％ (9/117) and 12.8％ (15/117) respectively.And the percentage of multiple venous sinus,double venous sinus and single venous sinus were 44.4％ (52/117),36.7％ (43/117) and 18.8％ (22/117) respectively.②The high intracranial pressure in full headache group is higher than the part headache group.The normal intracranial pressure in full headache group is nearly same as the part headache group.The low intracranial pressure in full headache group is less than the part headache group.But there are no significant difference between groups (P ＞ 0.05).③Incidence rate of single venous sinus thrombosis in full headache group is slightly higher than the part headache group.But incidence rate of double and multiple venous sinus thrombosis in full headache group is slightly lower than the part headache group.But there is no significant difference between groups (P ＞ 0.05).Conclusions CVST patients with headache as the intial symptom mainly manifest as the full headache,multiple venous sinus thrombosis,and intracranial hypertension.If headache patients with normal intracranial pressure or intranial hypotension were encountered,we should pay more attention to the diagnosis of CVST.
