经鼻内镜外伤性脑脊液鼻漏修补术

Endoscopic repair of traumatic cerebrospinal fluid rhinorrhea

目的探讨鼻内镜下外伤性脑脊液鼻漏修补术的方法和疗效。方法回顾性分析2008年11月-2012年5月收治的8例外伤性脑脊液鼻漏患者，采用鼻内镜下修补术，并对其手术方法和疗效进行总结。结果1次手术治愈7例，1例再次手术治愈。1例术后并发颅内感染，经对症支持治疗后全愈出院。随访6-24个月，无复发。结论鼻内镜下脑脊液鼻漏修补术是一种安全、有效和微创的手术方式。

ObjectiveTo study the technique and clinical effect of endoscopic repair of traumatic cerebrospinal fluid rhinorrhea （CSFR）. MethodsClinical data of 8 patients with traumatic CSFR repaired endoscopically from Nov 2008 to May 2012 was analyzed retrospectively. The surgical technique and clinical effect were summarized.ResultsOf all the 8 cases, 7 （87.5%） were cured with initial operation and one was healed at the second attempt. As for the complications, one developed intracerebral infection which was cured afterwards. All patients were followed up for 6 to 24 months postoperatively, and none of them had recurrence during this period.ConclusionEndoscopic surgery, with advantages of high safety, good effect and minimal invasion, is worthy of clinic popularization in repair of traumatic CSFR.