脑静脉窦血栓形成的临床特点及临床治疗分析

Clinical Characteristics and Treatment of Cerebral Venous Sinus Thrombosis

目的分析脑静脉窦血栓形成(cerebral venous sinus thrombosis,CVST)的临床特点,并探究其临床治疗效果。方法选取2017年11月—2019年11月期间我院接收的98例CVST患者进行研究,主要分析CVST患者的临床特点及临床治疗情况。98例患者中有50例予以支架取栓、局部溶栓及抗凝治疗综合治疗(A组),另外48例予以支架取栓与抗凝治疗(B组)。结果两组均为2种及以上症状发病者,均以高压症状、神经功能缺损症状及脑病样症状为主,其中头痛为首发症状,记忆减退、恶性呕吐等其余症状次之。A组出院时的mRs评分明显降低,0~2分的患者43例(86.00%)、3~6分的患者7例(14.00%),明显优于B组,P<0.05。结论CVST的临床特点以高压症状、神经功能缺损症状及脑病样症状为主,在治疗过程中采取综合治疗法有助于改善患者的临床症状,获得良好预后。

Objective To analyze the clinical characteristics of cerebral venous sinus thrombosis(CVST)and explore its clinical therapeutic effect.Methods 98 patients with CVST received by our hospital from November 2017 to November 2019 were selected for study,and the clinical characteristics and treatment of CVST patients were mainly analyzed.Among the 98 patients,50 were treated with stent thrombectomy,local thrombolysis and anticoagulation(group A),and 48 with stent thrombectomy and anticoagulation(group B).Results The symptoms of hypertension,neurological deficit and brain disease were the main symptoms in both groups,including headache as the first symptom,memory impairment,malignant vomiting and other symptoms.The mRs score of group A was significantly lower than that of group B,43 cases(86.00%)with 0~2 scores and 7 cases(14.00%)with 3~6 scores,which were significantly better than those in group B(P<0.05).Conclusion The main clinical characteristics of CVST are high pressure symptoms,neurological deficit symptoms and encephalopathy like symptoms.In the course of treatment,comprehensive treatment is helpful to improve the clinical symptoms of patients and obtain a good prognosis.