摘要
目的探讨隐匿性中颅窝底骨折的早期诊断方法。方法回顾性分析37例隐匿性中颅窝底骨折患者的临床特征,总结早期诊断的方法。结果本组隐匿性中颅窝底骨折患者多合并有外耳道出血,可出现迟发的脑脊液漏、面神经损伤、前庭功能障碍,通过保守治疗多可好转。大部分患者可通过颅底的薄层CT扫描得以确诊。结论大部分隐匿性中颅窝底骨折可通过薄层CT扫描得以确诊,但仍有少数患者需要通过观察临床症状进行诊断。
Objective To explore the early diagnosis for occult middle cranial fossa fracture.Methods Clinical features were analyzed retrospectively in 37 patients with occult middle cranial fossa fractures.Results Most patients were complicated by external auditory canal,probably presenting with cerebrospinal leak,facial nerve injury,vestibular dysfunction,which were possibly improved by conservative treatment.Most patients were confirmed by thin-layer basicranial scanning.Conclusion Most patients with occult middle cranial fossa fracture can be confirmed by thin-layer basicranial scanning,but a few need diagnoses through clinical symptom observation.
出处
《中国全科医学》
CAS
CSCD
北大核心
2010年第14期1564-1565,共2页
Chinese General Practice
关键词
颅底骨折
薄层扫描
颅底
脑脊液漏
诊断
Cranial base fracture
Thin- layer scanning
basicranial
Cerebrospinal fluid leakage
Diagnosis
