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神经内镜重建技术在颅底缺损中的应用进展

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摘要 神经内镜技术的发展,使得内镜经鼻入路(EEA)的手术适应症已经从鼻窦炎扩展到鼻旁窦肿瘤、颅底缺损甚至颅内疾病.随着扩大内镜经鼻入路经验的积累,更大、更复杂的病变切除造成的颅底缺损对颅底重建提出了挑战.重建可将颅腔和鼻腔隔离,从而预防脑脊液漏、颅内感染、颅内积气、脑膨出等严重并发症,所以有效的重建就显得至关重要. 大多数人都认为[1],内镜下颅底缺损重建时需考虑的关键因素包括:①重建材料/组织的有效性.②颅底缺损的类型.③术中脑脊液漏的程度.④既往手术或放射治疗病史.所以,我们基于颅底缺损类型及术中脑脊液漏程度运用神经内镜重建技术的进展进行综述.
出处 《医学信息》 2018年第A01期18-19,共2页 Journal of Medical Information
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