| 腰升静脉狭窄致椎管内静脉高压综合征 |
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| 作者姓名： | Pan L Ma L Gong J Yu Z Zhang X Li J Wang Q |
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| 作者单位： | 1. 430070,武汉,广州军区武汉总医院神经外科
2. 哈尔滨医科大学第一附属医院 |
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| 摘 要： | 目的：探讨腰升静脉狭窄致椎管内静脉高压综合征的临床特点及诊治方法。方法：3例患者经选择性脊髓血管造影及经股静脉插管到腰升静脉造影证实狭窄部位后,用MAGIC－B1微导管插入静脉狭窄处,反复充盈不可脱球囊扩张,消除静脉狭窄,恢复腰升静脉的正常血液回流,解除椎管内静脉高压。结果：3例患者经上述治疗后随访1至2年,2例痊愈,1例症状减轻。结论：腰升静脉狭窄是椎管内静脉高压综合征的病因之一,治疗应首选腔内血管扩张成形术。
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| 关 键 词： | 腰升静脉狭窄 椎管内静脉高压综合征 临床特点 腔内血管扩张成形术 发病机理 |
Venous hypertensive myelopathy caused by narrowing of ascending lumbar vein |
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| Pan L,Ma L,Gong J,Yu Z,Zhang X,Li J,Wang Q.Venous hypertensive myelopathy caused by narrowing of ascending lumbar vein[J].Chinese Journal of Surgery,2002,40(10):752-754,I002. |
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| Authors: | Pan Li Ma Lianting Gong Jie Yu Zhe Zhang Xinyuan Li Jun Wang Qihong |
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| Institution: | Department of Neurosurgery, Wuhan General Hospital, Guangzhou Command, People's Liberation Army, Wuhan 430070, China. |
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| Abstract: | Objective To assess the diagnosis and treatment of venous hypertensive myelopathy(VHM)caused by narrowing of the ascending lumbar vein. Method The data from 3 patients with VHM caused by narrowing of the ascending lumbar vein were analyzed retrospectively. Results Once the narrowed site of the lumbar ascending vein was determined by myelographic or angiographic technique, an undetachable balloon was introduced and advanced to the proximal part of the narrowed segment.Satisfactory results were obtained in these patients Conclusion Narrowing of the ascending lumbar vein is one of the causes for VHM,and endovascular balloon angioplasty is an optimal treatment. |
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| Keywords: | Hypertension Spinal canal Venous pressure Vena cava inferior Angioplasty balloon |
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