| 脑静脉窦血栓的影像学检查 |
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| 引用本文： | 周宇,戚跃勇,邹利光,梅文铭. 脑静脉窦血栓的影像学检查[J]. 实用临床医药杂志, 2011, 15(3): 47-50 |
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| 作者姓名： | 周宇 戚跃勇 邹利光 梅文铭 |
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| 作者单位： | 第三军医大学附属新桥医院,放射科,重庆,400037 |
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| 基金项目： | 第三军医大学临床科研基金 |
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| 摘 要： | 目的评价脑静脉窦血栓形成(CVST)的影像检查方法。方法回顾性分析18例CVST患者的综合影像资料,18例均行常规CT和MRI平扫,6例行减影法多层螺旋CT脑静脉成像(MSCTV),13例行磁共振对比增强三维脑静脉减影法成像(3D CE-MRV),12例行DSA检查。结果 18例CVST患者中,经影像学检查发现上矢状窦CVST 8例,横窦2例,乙状窦4例,直窦2例,上矢状窦及乙状窦均受累2例。6例(33.3%)CT平扫可提供重要的影像表现,尤其是MSCTV更为直观。18例CVST患者MRI检查均可清晰显示脑静脉窦血栓形成导致的流空效应消失,静脉窦内出现各期血栓的不同信号,13例可见脑水肿、脑梗死、脑出血等间接征象。15例3D CE-MRV检查均发现CVST的血栓征象(静脉窦充盈缺损或中断)。12例行DSA检查均能获得明确诊断。结论 影像综合检查对CVST的早期发现、确诊及制订治疗方案具有重要价值。
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| 关 键 词： | 脑 静脉窦血栓形成 数字减影成像 CT 磁共振成像 |
Imaging examination of cerebral venous sinus thrombosis |
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| ZHOU Yu,QI Yue-yong,ZOU Li-guang,MEI Wen-ming. Imaging examination of cerebral venous sinus thrombosis[J]. Journal of Clinical Medicine in Practice, 2011, 15(3): 47-50 |
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| Authors: | ZHOU Yu QI Yue-yong ZOU Li-guang MEI Wen-ming |
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| Affiliation: | ZHOU Yu,QI Yue-yong,ZOU Li-guang,MEI Wen-ming(Xinqiao Hospital Affiliated to the Third Military Medical University,Chongqing,400037) |
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| Abstract: | Objective To evaluate the value of combined imaging examinations in diagnosis of cerebral venous sinus thrombosis(CVST).Methods Retrospective analysis of 18 CVST patients with CT,MRI,Multi-slice CT venography(MSCTV),three-dimensional contrast-enhanced MR venography(3D CEMRV) and DSA imaging data.Eighteen cases of CVST were examined with CT and MRI, 6 cases were examined with MSCTV,fifteen cases were examined with 3D CE-MRV,and twelve cases were examined with DSA.Results Among the 18 CVST cases,the superior ... |
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| Keywords: | CT |
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