桥小脑角入路术后脑脊液鼻漏

Cerebrospinal rhinorrhea after approach operation in cerebellopontine angle

目的探讨桥小脑角开颅术中减少脑脊液(CSF)鼻漏产生的措施及治疗原则。方法结合文献报道，回顾性分析240例桥小脑角区手术后CSF鼻漏的临床资料。结果术后并发8例CSF鼻漏，均因颞骨气腔区骨质破坏，CSF经咽鼓管流出所致。结论掌握颞骨气腔区形成的解剖特点，减少骨质破坏，加强封闭可能的漏口，可有效地减少鼻漏发生。

Objective To explore the procedures to reduce cerebrospinal rhinorrhea in cerebellopontine-angle craniotomy and its therapeutic principles.Methods In combination with documents reports,the retrospective analysis of clinical data about cerebrospinal rhinorrhea was made in 240 cases after their operation.Results There were 8 cases with postoperative complication of cerebrospinal rhinorrhea,which were all caused by bone distruction in air-chamber area of temporal bone and CSF effluent through auditory tube....