摘要
目的 :探讨鼻内镜下修补脑脊液鼻漏的注意事项、修补材料的选择和并发症的处理。方法 :对 15例脑脊液鼻漏患者 ,根据术前确定的漏口部位选择不同的手术径路 ;根据漏口的大小选择不同的材料进行修补。结果 :15例患者均在鼻内镜下修补成功 ,其中 3例因脑脊液鼻漏在不同部位再发 ,行 3次以上手术修补 ,修补次数最多达 5次 ,1次修补成功率为 85 .6 %。结论 :脑脊液鼻漏经鼻内镜修补是一种极好的方法 ,具有方便、成功率高、并发症少、可重复多次修补等优点 ,值得推广。
Objective: To evaluate the points for attention, repair material and the treatment of complications in repairing cerebrospinal fluid rhinorrhea.Method:Fifteen cases of cerebrospinal fluid rhinorrhea were repaired.One case was pituitary tumor involving radiotherapy,two cases were spontaneous, six were traumatic, six were traumatic,six were iatrogenic.Result:All cases were successfully repaired by endoscopy.The successful rate were 85.6%.Some cases were relapsed in different positions and some cases needed to be repaired more than two times even five tiems. Conclusion: Endoscopic repair of cerebrospinal fluid rhinorrhea is a very good method with the virtue of convenient, high successful rate, less complication and repeatability.The method is worth spreading.
出处
《临床耳鼻咽喉科杂志》
CSCD
北大核心
2004年第11期668-669,共2页
Journal of Clinical Otorhinolaryngology
关键词
脑脊液鼻漏
内镜术
并发症
Cerebrospinal fluid rhinorrhea
Endoscopy operation
Complication
