【摘要】：目的探討眼動(dòng)脈經(jīng)顱多普勒(TCD)對(duì)顱內(nèi)靜脈竇血栓形成(CVST)患者顱內(nèi)壓變化的預(yù)測(cè)研究。方法臨床確診為CVST,且伴有視覺障礙和雙眼視乳頭水腫患者。分別于治療前、治療后5~15 d和治療后30~45 d行眼動(dòng)脈TCD后立即行腰穿記錄顱內(nèi)壓值(ICP)。通過眼動(dòng)脈顱內(nèi)和顱外段搏動(dòng)指數(shù)(PI),計(jì)算搏動(dòng)指數(shù)變化率(△PI),并進(jìn)行相應(yīng)時(shí)段ICP與△PI之間相關(guān)性分析。結(jié)果在治療前、治療后5~15 d和治療后30~45 d相應(yīng)時(shí)段ICP與△PI之間均有相關(guān)性,P值均為0.000。結(jié)論眼動(dòng)脈顱內(nèi)和顱外段搏動(dòng)指數(shù)變化率可作為預(yù)測(cè)CVST患者顱內(nèi)壓變化的一種無創(chuàng)指標(biāo)。
[Abstract]:Objective to study the prediction of intracranial pressure in patients with intracranial venous sinus thrombosis (CVST) by transcranial Doppler (TCD) (TCD). Methods CVST was diagnosed clinically with visual impairment and binocular papillary edema. Intraocular pressure (ICP).) was recorded by lumbar puncture immediately before treatment, 5 days after treatment and 30 days after 45 days of treatment. The rate of change of pulsatile index (PI),) was calculated by intracranial and extracranial pulsatile index (PI),) of the ophthalmic artery and the correlation between ICP and Pi in the corresponding period was analyzed. Results before treatment, at 15 days after treatment and 30 days after treatment, there was a correlation between ICP and Pi (P = 0.000). Conclusion the change rate of intracranial and extracranial pulsatile index of ophthalmic artery can be used as a noninvasive index to predict the change of intracranial pressure in patients with CVST.
【作者單位】： 西安交通大學(xué)醫(yī)學(xué)院附屬廣仁醫(yī)院;
【分類號(hào)】：R743

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