中国脑血管病杂志
中國腦血管病雜誌
중국뇌혈관병잡지
Chinese Journal of Cerebrovascular Diseases
2015年
10期
520-525
,共6页
赵振华%陈枝挺%潘晓东%郑峥
趙振華%陳枝挺%潘曉東%鄭崢
조진화%진지정%반효동%정쟁
窦血栓形成,颅内%磁共振成像%临床特点
竇血栓形成,顱內%磁共振成像%臨床特點
두혈전형성,로내%자공진성상%림상특점
Sinus thrombosis,intracranial%Magnetic resonance imaging%Clinical features
目的：探讨颅内静脉窦血栓患者头部MRI及其脑实质病灶的表现和预后。方法回顾性分析41例颅内静脉窦血栓患者的临床表现及影像学资料。根据头部MRI，将患者分为脑实质病灶阳性组21例和阴性组20例，分析两组患者的临床表现及受累静脉窦的差异。结果阳性组发生脱水、癫痫、运动障碍和精神症状的比率高于阴性组，分别为28.6％（6例）比0％（0例）、57.1％（12例）比15.0％（3例）、47.6％（10例）比5.0％（1例）、33.3％（7例）比5.0％（1例），差异均有统计学意义（均P ＜0.05）。阳性组发生上矢状窦血栓的比率低于阴性组[47.6％（10例）比80.0％（16例），P ＝0.031]。出院时阳性组完全恢复（改良Rankin 评分0～1分）的比率低于阴性组[71.4％（15例）比100％（20例），P ＝0.032]。结论颅内静脉窦血栓患者脑实质病灶阴性患者的临床症状比阳性者相对轻微，预后较好，血栓累及上矢状窦居多。
目的：探討顱內靜脈竇血栓患者頭部MRI及其腦實質病竈的錶現和預後。方法迴顧性分析41例顱內靜脈竇血栓患者的臨床錶現及影像學資料。根據頭部MRI，將患者分為腦實質病竈暘性組21例和陰性組20例，分析兩組患者的臨床錶現及受纍靜脈竇的差異。結果暘性組髮生脫水、癲癇、運動障礙和精神癥狀的比率高于陰性組，分彆為28.6％（6例）比0％（0例）、57.1％（12例）比15.0％（3例）、47.6％（10例）比5.0％（1例）、33.3％（7例）比5.0％（1例），差異均有統計學意義（均P ＜0.05）。暘性組髮生上矢狀竇血栓的比率低于陰性組[47.6％（10例）比80.0％（16例），P ＝0.031]。齣院時暘性組完全恢複（改良Rankin 評分0～1分）的比率低于陰性組[71.4％（15例）比100％（20例），P ＝0.032]。結論顱內靜脈竇血栓患者腦實質病竈陰性患者的臨床癥狀比暘性者相對輕微，預後較好，血栓纍及上矢狀竇居多。
목적：탐토로내정맥두혈전환자두부MRI급기뇌실질병조적표현화예후。방법회고성분석41례로내정맥두혈전환자적림상표현급영상학자료。근거두부MRI，장환자분위뇌실질병조양성조21례화음성조20례，분석량조환자적림상표현급수루정맥두적차이。결과양성조발생탈수、전간、운동장애화정신증상적비솔고우음성조，분별위28.6％（6례）비0％（0례）、57.1％（12례）비15.0％（3례）、47.6％（10례）비5.0％（1례）、33.3％（7례）비5.0％（1례），차이균유통계학의의（균P ＜0.05）。양성조발생상시상두혈전적비솔저우음성조[47.6％（10례）비80.0％（16례），P ＝0.031]。출원시양성조완전회복（개량Rankin 평분0～1분）적비솔저우음성조[71.4％（15례）비100％（20례），P ＝0.032]。결론로내정맥두혈전환자뇌실질병조음성환자적림상증상비양성자상대경미，예후교호，혈전루급상시상두거다。
Objective To investigate the findings and prognosis of head MRI and brain parenchymal lesions in patients with intracranial venous sinus thrombosis. Methods The clinical manifestations and imaging data of 41 patients with intracranial venous sinus thrombosis were analyzed retrospectively. According to the head MRI,the patients were divided into a brain parenchymal lesion positive group (n = 21)and a negative group (n =20). The clinical manifestations and the difference of the affected venous sinus in patients of both groups were analyzed. Results The proportion of dehydration,epilepsy,motor disorders,and psychiatric symptoms in the positive group were 28.6% (n =6)vs. 0% (n =0),57. 1% (n =12)vs. 15. 0%(n = 3),47. 6% (n = 10)vs. 5. 0% (n = 1),and 33. 3% (n = 7)vs. 5. 0% (n = 1),respectively. There were significant differences (all P < 0. 05). The proportion of the occurrence of superior sagittal sinus thrombosis in the positive group was lower than that in the negative group (47. 6% [n = 10]vs. 80. 0%[n = 16];P = 0. 031). At discharge,the proportion of complete recovery (modified Rankin score 0 -1)in the positive group was lower than that in the negative group (71. 4% [n = 15]vs. 100% [n = 20];P =0. 032). Conclusion Compare with the clinical symptoms of the positive patients,the patients with intracranial venous sinus thrombosis and those with negative brain parenchymal lesions are relatively minor,their prognoses are better,and the thrombi are more involved in superior sagittal sinus.
