[1]马廉亭,杨铭,吴涛,等.避免脊髓静脉高压综合征误诊的新见解及对策[J].中国临床神经外科杂志,2024,29(12):705-710.[doi:10.13798/j.issn.1009-153X.2024.12.001]
　MA Lian-ting,YANG Ming,WU Tao,et al.New insights and countermeasures for avoiding misdiagnosis of spinal venous hypertension syndrome[J].,2024,29(12):705-710.[doi:10.13798/j.issn.1009-153X.2024.12.001]
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避免脊髓静脉高压综合征误诊的新见解及对策()
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《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
29
期数:
2024年12期
页码:
705-710
栏目:
专家论坛
出版日期:
2024-12-30

文章信息/Info

Title:
New insights and countermeasures for avoiding misdiagnosis of spinal venous hypertension syndrome
文章编号:
1009-153X（2024）12-0705-06
作者:
马廉亭; 杨铭; 吴涛; 李俊; 李明; 潘力; 黄河; 徐召溪; 秦杰; 赵曰圆; 安学锋; 马生辉
430070武汉，中国人民解放军中部战区总医院神经外科（马廉亭、杨铭、黄河、徐召溪、秦杰、赵曰圆、安学锋、马生辉）；518016广东深圳，北京大学深圳医院神经外科（吴涛）；430033武汉，江汉大学湖北省第三人民医院神经外科（李俊）；518107广东，深圳市第十人民医院神经外科（李明）；430010武汉，长江航运总医院神经外科（潘力）
Author(s):
MA Lian-ting1;  YANG Ming1;  WU Tao2;  LI Jun3;  LI Minng4;  PAN Li5;  HUANG He1;  XU Zhao-xi1;  QIN Jie1;  ZHAO Yue-yuan1;  AA Xue-feng1;  MA Sheng-hui1
1. Department of Neurosurgery, General Hospital of Central Theater Command, PLA, Wuhan 430070, China; 2. Department of Neurosurgery, Peking University Shenzhen Hospital, Shenzhen 518016, China; 3. Department of Neurosurgery, The Third People's Hospital of Hubei Province, Jianghan University, Wuhan 430033, China; 4. Department of Neurosurgery, Shenzhen Tenth People's Hospital, Shenzhen 518107, China; 5. Department of Neurosurgery, General Hospital of The Yangtze River Shipping, Wuhan 430010, China
关键词:
脊髓静脉高压综合征; 病因; 发病机制; 治疗经验
Keywords:
Spinal venous hypertension syndrome;  Etiology;  Pathogenesis;  Treatment experience
分类号:
R 744.1
DOI:
10.13798/j.issn.1009-153X.2024.12.001
文献标志码:
C
摘要:
脊髓静脉高压综合征是指由多种脊髓、脊柱及其周围结构的血管性病变，导致脊髓引流静脉回流受阻或椎管外静脉血逆流入椎管静脉系统，使脊髓静脉系统压力增高、循环减慢而产生的脊髓功能受损的一组综合症状，常见病因包括脊髓血管疾病、硬脑膜动静脉瘘、椎动静脉瘘、椎旁静脉系统狭窄和闭塞等。由于对脊髓静脉高压综合征的病因、发病机制的认识缺乏，加之临床表现无特异性，临床容易误诊而延误治疗。本文总结脊髓静脉高压综合征的病因、发病机制，并对我院40年来收治的、外院误诊的脊髓静脉高压综合征病人的治疗经验进行总结，以供临床参考。
Abstract:
Spinal venous hypertension syndrome refers to a set of comprehensive symptoms resulting from various vascular disorders of the spinal cord, spine, and their surrounding structures, which cause obstruction of the venous return of the spinal cord drainage or the reverse flow of extracanal venous blood into the spinal canal venous system, thereby increasing the pressure in the spinal cord venous system and slowing down the circulation, and causing impaired spinal cord function. Common etiologies include spinal vascular diseases, dural arteriovenous fistulas, vertebral arteriovenous fistulas, stenosis and occlusion of the paravertebral venous system, etc. Due to the lack of awareness regarding the etiology and pathogenesis of spinal venous hypertension syndrome, coupled with the non-specificity of clinical manifestations, it is prone to misdiagnosis and delayed treatment in clinical practice. This paper summarizes the causes and pathogenesis of spinal venous hypertension syndrome and reviews the treatment experience of patients with spinal venous hypertension syndrome who were misdiagnosed in other hospitals and admitted to our hospital in the past 40 years, providing a reference for clinical practice.

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备注/Memo

备注/Memo:
（2024-10-06收稿，2024-11-12修回）
更新日期/Last Update: 2024-12-30