儿童耳源性乙状窦血栓性静脉炎的诊疗进展

Diagnosis and treatment progress of otogenic sigmoid sinus thrombosis in children

耳源性乙状窦血栓性静脉炎是中耳炎颅内并发症的一种,由于抗生素的广泛应用,其发病率已经逐年减少,但是该病预后欠佳,病死率、神经系统后遗症的发生率高,而对于其手术方式和抗凝剂的应用方面还存在着不少的争议。从文献报道数量来看,儿童比成人更容易发生此类并发症。现阶段对其讨论热点包括手术方式的选择、抗凝剂的应用与否、抗凝剂的种类等。本文对其流行病学特点、治疗及临床预后做一综述。

Otogenic sigmoid sinus thrombosis is an intracranial complication of otitis media. Because of the widespread use of antibiotics, the incidence has decreased year by year, but the prognosis is poor while the incidence of fatality rate and neurological sequelae are high. The using of the surgical approach and anticoagulants still have a lot of controversies. In terms of the number of reports, children are more likely to have such complications than adults. The hot spots of it in present stage are about the surgery and anticoagulant. This article reviewed the epidemiology, treatment and prognosis of the disease.