内镜经鼻入路脑膜脑膨出伴脑脊液鼻漏的外科治疗  

Management of endonasal encephalomeningocele with cerebrospinal fluid rhinorrhea by transnasal endoscopic surgery

作　　者：吕海丽[1] 张秋航[1] 严波[1] 倪志立[1] 

机构地区：[1]首都医科大学宣武医院耳鼻咽喉-颅底外科,北京100053

出　　处：《中国微侵袭神经外科杂志》2006年第10期446-448,共3页Chinese Journal of Minimally Invasive Neurosurgery

摘　　要：目的探讨内镜经鼻入路治疗鼻部脑膜脑膨出伴脑脊液鼻漏的可行性,并讨论围手术期及术后并发症的处理。方法回顾性分析11例经鼻脑膜脑膨出伴脑脊液鼻漏病人的临床资料,总结膨出物的位置,颅底骨质缺损大小,膨出物切除后颅底修补方法及术后疗效。结果10例病人脑脊液鼻漏1次修补成功,1例病人2次修补成功,术后随访6～30个月未见复发,其中1例术后出现脑膜炎并发症,经抗炎治愈。结论内镜经鼻入路治疗鼻部脑膜脑膨出伴脑脊液鼻漏是一种安全、有效、微创的方法。Objective To explore the feasibility of endoscopic endortasal approach for endonasal encephalomeningocele with eerebrospthal fluid rhinorrhea and managements during the perioperative period and of postoperative complications. Methods Clinicai data from 11 Cases of meuingoencepbalocele with cerebrospinal fluid rhinorrhea were retrospectively reviewed for the position of the dilatant, size of skull base defect, method for repairing skull base after dilatant excision and surgical effect, Results Once repair succeeded in 10 cases, the second repair was needed in 1. Follow-up during 6-30 months, no recurrence was seen. Meningitis appeared and cured by internal medicine in 1 case. Conclusion The treatment of endonasal encephalomeningocele with cerebrospinal fluid rhinorrhea via endoscopic endonasal approach is safe, effective and minimally invasive.

关 键 词：内镜外科 脑膜膨出 脑脊液鼻漏 

分 类 号：R651[医药卫生—外科学] R765.24[医药卫生—临床医学]