蝶窦自发性脑脊液鼻漏改良修补术  

作　　者：王志宏[1] 杨晓黎[1] 胡锋[1] 吴亮[1] 

机构地区：[1]甘肃省张掖市人民医院五官科,734000

出　　处：《中国社区医师（医学专业）》2008年第15期108-108,共1页

摘　　要：目的:探讨蝶窦自发性脑脊液鼻漏的发病机制,临床及影象学的诊断与鉴别。方法:对8例蝶窦自发性脑脊液鼻漏的鼻窦CT,生化检查结果及病例资料进行分析。结果:8例自发性脑脊液鼻漏患者明确诊断及部位,均在鼻内镜直视下经蝶窦成功修补。结论:蝶窦自发性脑脊液鼻漏多认为与颅底缺损有关,颅压波动,久之硬脑膜变薄,最后破裂形成漏孔。结合CT,物理诊断,化验检查及内窥镜检查均可明确诊断,内镜下可为首选方法。Objective：To evaluate the pathogenecis of cerebrospinal rhinorrhea, the diognoric and discriminate in clinical and iconography. Methods：To aralyse 8 patients paranasal sinus CT, laryngofiberscope results of bioche mistry with largngo fiber scope. Conclusions：It is said that autonomy cerebrospinal rhinorrhea is connected with lacking base of skull. If the pressure incranium waved too long, the meninges will to be thin and break to make a hole. With CT, physical, diagnose, assaytest and laryngo fiberscope,it can be cleally.

关 键 词：自发性 脑脊液鼻漏 蝶窦改良 修补术 

分 类 号：R765.24[医药卫生—耳鼻咽喉科] R736.405[医药卫生—临床医学]