中脑周围蛛网膜下腔出血的静脉引流方式
发布时间：2019-07-22 14:43
【摘要】：目的探讨脑内不同深静脉引流方式与中脑周围蛛网膜下腔出血(PMSAH)的关系方法回顾性分析2014年1月至2017年1月安徽医科大学第二附属医院诊治的90例蛛网膜下腔出血(SAH)患者的临床资料。其中PMSAH 30例为PMSAH组,动脉瘤性SAH 60例为对照组。单侧大脑半球静脉引流分为A型(正常的连续):基底静脉有大脑深中静脉引流,引流入Galen大脑大静脉;B型(正常的不连续):基底静脉与前方的钩静脉、后方的Galen静脉有不连续静脉引流;C型(原始的变异):未向Galen大脑大静脉引流,中脑周围静脉向岩上窦引流,或基底静脉直接引流入横窦、直窦。双侧大脑半球静脉引流的不同组合分为:正常型引流(Ⅰ型:AA),不连续型引流(Ⅱ型:AB、BB),原始型引流(Ⅲ型:AC、BC、CC),比较两组静脉引流方式的差异。结果 PMSAH组中,Ⅰ、Ⅱ型引流均占26.7%(各8例),Ⅲ型引流占46.7%(14例)。对照组中Ⅰ型引流占48.3%(29例),Ⅱ型引流占28.3%(17例),Ⅲ型引流占23.3%(14例)。3种静脉引流方式在两组中分布比较,差异无统计学意义(χ~2=5.804,P=0.055),但Ⅲ型静脉引流(46.7%比23.3%)在两组间差异有统计学意义(χ~2=5.081,P=0.024)。结论 PMSAH患者的深静脉引流多表现为基底静脉引流入硬脑膜静脉窦,而并非向大脑大静脉引流。提示原始引流入硬膜窦的方式较引流入大脑大静脉的方式更容易破裂。
[Abstract]:Objective to investigate the relationship between different deep venous drainage methods and subarachnoid hemorrhage (PMSAH) around midbrain methods the clinical data of 90 patients with subarachnoid hemorrhage (SAH) diagnosed and treated in the second affiliated Hospital of Anhui Medical University from January 2014 to January 2017 were analyzed retrospectively. Among them, 30 cases of PMSAH were PMSAH group and 60 cases of arteriomatous SAH were control group. Unilateral cerebral hemispheric venous drainage can be divided into type A (normal continuous): basal vein has deep middle cerebral vein drainage, leading to Galen great cerebral vein, B type (normal discontinuity): basal vein and anterior hook vein, posterior Galen vein has discontinuity vein drainage; Type C (primitive variation): no drainage to the great cerebral vein of Galen, drainage of the pericerebral vein to the superior petrosal sinus, or direct flow of the basal vein into the transverse sinus and straight sinus. The different combinations of bilateral cerebral hemispheric venous drainage were divided into normal drainage (type 鈪，
本文编号：2517689
[Abstract]:Objective to investigate the relationship between different deep venous drainage methods and subarachnoid hemorrhage (PMSAH) around midbrain methods the clinical data of 90 patients with subarachnoid hemorrhage (SAH) diagnosed and treated in the second affiliated Hospital of Anhui Medical University from January 2014 to January 2017 were analyzed retrospectively. Among them, 30 cases of PMSAH were PMSAH group and 60 cases of arteriomatous SAH were control group. Unilateral cerebral hemispheric venous drainage can be divided into type A (normal continuous): basal vein has deep middle cerebral vein drainage, leading to Galen great cerebral vein, B type (normal discontinuity): basal vein and anterior hook vein, posterior Galen vein has discontinuity vein drainage; Type C (primitive variation): no drainage to the great cerebral vein of Galen, drainage of the pericerebral vein to the superior petrosal sinus, or direct flow of the basal vein into the transverse sinus and straight sinus. The different combinations of bilateral cerebral hemispheric venous drainage were divided into normal drainage (type 鈪，
本文编号：2517689
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