在用鼻内镜下修复脑脊液鼻漏的临床疗效观察

Transnasal endoscopic repair of cerebrospinal fluidrhinorrhea clinical analysis of 40 cases

目的 :探讨应用鼻内镜修复脑脊液鼻漏的临床效果。方法 :对我院2009年1月~2012年6月期间收治的40例脑脊液鼻漏患者的临床资料进行回顾性研究。我们将这40例患者随机分为实验组和对照组,每组各20例患者。我们为实验组患者应用鼻内镜对其脑脊液鼻漏进行修补治疗;我们为对照组患者应用经颅脑脊液修补术进行治疗。在两组患者手术后,观察他们的术后效果、出现并发症的情况及住院的时间。结果 :实验组患者的手术成功率为95.00%,并发症的发病率为1%,平均住院时间为14.48±5.86天;对照组患者的手术成功率为60.00%,并发症的发病率为30%,平均住院时间为22.35±5.97天。实验组患者的手术成功率明显高于对照组患者,并发症的发病率明显低于对照组患者,平均住院时间明显短于对照组患者。两组患者相比治疗结果差异显著(p>0.05),具有统计学意义。结论 :应用鼻内镜下脑脊液鼻漏修补术能有效地提高脑脊液鼻漏手术的成功率,且患者的创伤小、住院时间短、并发症的发病率低。此方法值得在临床上推广使用。

Objective: To study the clinical effect of endoscopic repair of cerebrospinal fluid rhinorrhea; methods: 40 patients with cerebrospinal fluid rhinorrhea from 2009 January to 2012 June to accept operation treatment in our hospital patients, in accordance with the dice method were randomly divided into experimental group and control group. The experimental group underwent endoscopic repair of cerebrospinal fluid rhinorrhea treatment, control group underwent intracranial repair treatment, evaluation of two groups of patients the effect of operation, postoperative complications and hospitalization time of patients;results: the operation effect, postoperative complications of two groups and the average hospitalization time respectively compared, there is a statistically significant difference (P > 0.05); conclusion: the efficacy of endoscopic repair of cerebrospinal fluid rhinorrhea significantly, and lower rate of complications, short hospitalization time, worthy of clinical application.