Lee Jun Ho, Choi Seong Jun, Park Keehyun, Choung Yun-Hoon
Department of Otorhinolaryngology, Head and Neck Surgery, College of Medicine, Hallym University, Chunchon, South Korea.
Eur Arch Otorhinolaryngol. 2009 Jan;266(1):51-8. doi: 10.1007/s00405-008-0724-7. Epub 2008 Jun 6.
The purposes of this study were to review the clinical characteristics and treatment outcomes of patients with lateral sinus thrombosis (LST) and to discuss the need of internal jugular vein (IJV) ligation or anticoagulants. We retrospectively reviewed the charts of five patients (1 male and 4 female) with LST. The chief complaints were otalgia, fever, mastoid tenderness, and neck pain. All patients were confirmatively diagnosed with MRI-Venography or Angio-CT scans. The patients were treated with appropriate antibiotics and operations including mastoidectomies with/without thrombectomy according to their suspected disease course. The authors did not perform IJV ligation and use anticoagulants in all cases, but there were no mortalities or morbidities. IJV ligation and use of anticoagulants do not seem to be essential procedures for the management of LST, and it should be considered carefully according to the extents of disease and the state of patients.
本研究的目的是回顾外侧窦血栓形成（LST）患者的临床特征和治疗结果，并讨论颈内静脉（IJV）结扎或抗凝剂的必要性。我们回顾性分析了5例LST患者（1例男性，4例女性）的病历。主要症状为耳痛、发热、乳突压痛和颈部疼痛。所有患者均通过磁共振静脉造影或血管CT扫描确诊。根据疑似病程，患者接受了适当的抗生素治疗和手术，包括有/无血栓切除术的乳突切除术。作者并非在所有病例中都进行IJV结扎和使用抗凝剂，但没有出现死亡或并发症。IJV结扎和使用抗凝剂似乎并非LST治疗的必要程序，应根据疾病程度和患者状况谨慎考虑。
