鼻内镜联合影像导航系统在脑脊液鼻漏修补术中的应用

Application of Transnasal Endoscopic Combined Image-guided System in Repair of Cerebrospinal Fluid Rhinorrhea

目的探讨影像导航技术在鼻内镜下脑脊液鼻漏修补术中的临床应用价值。方法回顾性分析2014年3月至2017年6月于中国医科大学附属第一医院耳鼻咽喉科入院接受影像导航鼻内镜下修补术的10例12侧脑脊液鼻漏患者的临床资料,并讨论脑脊液鼻漏的诊断、术前及术中漏口定位、修补效果、并发症等评估指标。结果经导航鼻内镜下脑脊液鼻漏修补术均顺利、准确找到漏口并一次治愈,无并发症发生,术后随访0.5~40个月,无复发病例。结论影像导航技术对在鼻内镜脑脊液鼻漏修补术中准确定位漏口具有应用价值。

Objective To discuss the clinical value of image navigation technique in nasal endoscopic repair of cerebrospinal fluid rhi- norrhea. Methods Retrospectively analyse the clinical data of 10 cases with cerebrospinal fluid rhinorrhea who underwent nasal endo- scopic repair who were admitted to hospital from March 2014 to June 2017 and discussing the diagnosis of eerebrospinal fluid rhinorrhea, preoperative and intraoperative leakage location, repair effect, complications and other indicators. Results All cases were cured by one treatment under imaging-guided transnasal endoscopic repair without any complication and recurrence during the 0.5 to 40 months of fol- low-up visits. Conclusion Image-guided system application is essential in the endoscopic repairment of cerebrospinal fluid rhinorrhea by exactly locating the rhinorrhea.