神经内镜在自发性脑脊液鼻漏治疗中的应用

The value of neuroendoscopy in the treatment of spontaneous cerebrospinal fluid rhinorrhea

目的探讨神经内镜在自发性脑脊液鼻漏诊治中的应用及优势。方法回顾性分析中国人民解放军总医院第六医学中心神经外科处理的15例自发性脑脊液鼻漏的临床特点、诊疗方法及疗效。结果15例患者均一次性治愈,术后无颅内感染等严重并发症出现,随访0.5~5 a未见脑脊液鼻漏复发。结论神经内镜在自发性脑脊液鼻漏修补中具有明显优势。

Objective To explore the application and advantages of neuroendoscopy in the diagnosis and treatment of spontaneous cerebrospinal fluid rhinorrhea.Methods The clinical features,diagnosis and treatment methods and curative effects of 15 cases of spontaneous cerebrospinal fluid rhinorrhea were analyzed retrospectively.Results All the 15 patients were cured at one time.There were no serious complications such as intracranial infection.No recurrence was observed after 6 months to 5 years of follow up.Conclusion Neuroendoscopy has obvious advantages in the application of spontaneous cerebrospinal fluid rhinorrhea repair,and it is worthy of popularization.