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目的:分析颅内静脉窦血栓形成(CVT)的临床表现、影像学特征、治疗及预后。方法:方法回顾分析17例CVT患者的临床资料。结果:MRI平扫可见受累静脉窦内异常血栓信号,MRV可见受累静脉窦显影不良或不显影,MRI、MRV检查阳性率高,可明确诊断。经抗凝、降颅压及对症支持治疗,部分病例行局部溶栓治疗后,10例(58.82%)患者痊愈,5例(29.41%)好转,2例(11.76%)死亡。结论:早期诊断及静脉内溶栓能提高本病的生存率,降低致残率,减少并发症。
Objective: To analyze the clinical manifestations, imaging features, treatment and prognosis of intracranial venous sinus thrombosis (CVT). Methods: Methods The clinical data of 17 patients with CVT were retrospectively analyzed. Results: Abnormal thrombus signal was found in the affected sinuses by plain MRI. MRV showed poor or poorly developed venous sinuses. MRI and MRV showed high positive rate and definite diagnosis. After anticoagulant, intracranial pressure and symptomatic supportive therapy, 10 patients (58.82%) were cured after partial thrombolysis in some patients. Five patients (29.41%) got better and two patients died (11.76%). Conclusion: Early diagnosis and intravenous thrombolysis can improve the survival rate of the disease, reduce the morbidity and reduce the complications.