鼻内镜下修补脑脊液鼻漏18例报告  

The report of 18 cases cerebrospinal fluid rhinorrhea repair by endoscopic.

作　　者：毛红明[1] 阮仕斌 安惠民[2] 

机构地区：[1]攀枝花钢铁集团公司职工总医院耳鼻喉科,四川攀枝花617023 [2]四川大学华西医院耳鼻咽喉头颈外科

出　　处：《中外医学研究》2010年第2期20-21,共2页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的探讨鼻内镜下修补脑脊液鼻漏的效果。方法总结2003年4月～2008年8月以来18例脑脊液鼻漏患者在鼻内窥镜下进行修复手术，总结其术式及疗效。结果对患者使用嵌塞法10例（鼻内镜下加鼻外额窦进路2例），铺盖法8例。18例患者一次性修复成功者16例（16／18），二次修复成功者2例（2／18）。结论鼻内镜下修补脑脊液鼻漏修复成功率高，术式具有安全、微创、费用低、并发症少、无面部瘢痕、术后恢复快、保持嗅觉功能等特点，为CFR治疗的首选方式。Objective To explore the effect,which the repair CFR by endoscopic. Methods To summarize the curative effect of 18 pa- tients ,who had repaired CFR by endoscopic from April 2003 to August 2008. Results Some with impaction method in 10 patients（ plus external nasal endoscopic sinus approach 2 cases） ,blanket method in 8 cases. It＇s about 16 patients who with one -time success in repairing and the seeondary repair successful in 2 cases. Conclusion The repair CFR by endoscopic has high success rate, safe, invasive, low - cost, less complication, no scar, recovery quickly and keeping olfaction, so on. It＇s the preferred method for CFR＇s therapy.

关 键 词：脑脊液鼻漏 修复 内窥镜 临床分析 

分 类 号：R765.24[医药卫生—耳鼻咽喉科] R765.9[医药卫生—临床医学]