经鼻内窥镜筛蝶窦脑脊液鼻漏修补术

Intranasal Endoscopic Management of Cercbrospinal Rhinorrhea

采用内窥镜鼻窦外科技术修补筛窦、蝶窦脑脊液鼻漏５例。其中４例是外伤性，经保守治疗无效者，１例是经鼻内窥镜筛板一前颅底进路切除浸入鼻腔的脑膜瘤时发生的严重脑脊液鼻漏。５例均一次手术治愈。介绍了修补术的方法，并就经鼻内窥镜脑脊液鼻漏修补术的有关问题进行了讨论。

The excellent visualization and atraumatic surgical techniques of endoscopic sinus sur- gery have been applied to the management of five cases of cerebrospinal rhinorrhea in the last 3 vears. In all the cases,the exact sites of the lesion were identified on ethmoid roof(2 cases)or sphenoid sirius(3 cases).The procedures of the operation were as follows:to enlarge the leak and at the same time to block up it with the muscles,and then covering the muscles with fascia. All of the five cases were cured by one-step surgery.The techniques and indications for endoscopic management of cerebrospinal rhinorrhea are discussed