摘要
目的探讨鼻腔鼻窦蝶鞍区肿瘤手术并发脑脊液鼻漏发生情况及手术治疗方法。方法回顾性分析1988年3月至2001年7月收治的20例鼻腔鼻窦蝶鞍区肿瘤术后并发持续性脑脊液漏,经保守治疗无效而采用手术治疗的临床资料。采用额鼻联合入路修补10例,鼻内镜入路7例,鼻蝶窦入路显微手术2例,鼻外筛窦进路1例。结果全部病例均手术治愈,无复发。结论鼻腔鼻窦蝶鞍区肿瘤切除,特别是垂体腺瘤切除有可能引起脑脊液鼻漏;手术应仔细操作,如术中发现脑脊液漏或缺损较大的应行一期修补,术后持续性脑脊液漏经保守治疗无效的应尽快手术修补。(中国眼耳鼻喉科杂志,2007,7:29～30)
Purpose To investigate the occurrence and surgical treatment for cerebrospinal rhinorrhea after surgery of tumors in nasal cavity , nasal sinus, and sella turcica.Methods The clinical data of 20 cases with continuous cerebrospinal rhinorrhea after surgery of tumors in nasal cavity, nasal sinus and , sella turcica were analyzed retrospectively from March 1988 to July 2001 .The fistula was revised surgically with cranionasal combination approach in 10 cases, nasal endoscope approach in 7cases, nasal sphenoid approach in 2 cases and ethmoidal sinus approach in one case.Results All cases were cured without relapse. Conclusion Cerebrospinal rhinorrhea may be induced by tumor, especially pituitary adenoma, resection in nasal cavity,nasal sinus,and sella turreica, Operation should be performed carefully in order to prevent from occurance of cerebrospinal rhinorrhea.The continuous cerebrospinal rhinorrhea which is not stopped by conservative therapy should be repaired surgically as soon as possible. （Chin J Ophthalmol and Otorhinolaryngol,2007,7：29-30）
出处
《中国眼耳鼻喉科杂志》
2007年第1期29-30,共2页
Chinese Journal of Ophthalmology and Otorhinolaryngology
关键词
鼻窦肿瘤
垂体腺瘤
脑脊液鼻漏
tumor of sinus
pituitary adenoma
cerebrospinal rhinorrhea
