神经内镜下脑脊液鼻漏鞍底修补粘合剂选择的实验研究

Experimental research of adhesive materials in repairing the bottom of saddle of cerebrospinal fluid rhinorrhe under endoscope

目的为神经内镜下脑脊液鼻漏鞍底修补手术选取合理的修补胶。方法在4例尸头上模拟神经内镜下脑脊液鼻漏鞍底修补手术,分别使用生物蛋白胶、医用创面封闭胶和EC耳脑胶进行修补,测定每种粘合胶在修补术后2min、5min和4h的粘合强度;统计各组实验失败率,分析各种胶的使用方便程度。结果神经内镜下脑脊液鼻漏鞍底修补手术中EC耳脑胶的粘合强度大于创面封闭胶和生物蛋白胶,EC耳脑胶组实验失败率最低。结论EC耳脑胶是神经内镜下脑脊液鼻漏鞍底修补手术的最佳粘合剂。

[Objective] To explore a reasonable adhesive material in repairing the bottom of saddle of cerebrospinal fluid rhinorrhe under endoscope. [Methods] At first ,we evaluated the bonding strength of three kinds of adhesive materials at the 2 min, 5 min and 4 h after operation on 4 heads under endoscope. Secondly, the rate of failure during every operation was measured to estimate convenience of different adhesive materials. [Result] Among EC ear-head adhesive, ZT sealant and fibrin sealant, EC ear-head adhesive...