鼻内镜手术修补脑脊液鼻漏临床分析  

Analysis of Transnasal Endoscopic Repair of Cerebrospinal Fluid Rhinorrhea

作　　者：苏红霞[1] 赵玉林[1] 张晓静[1] 张世涛[1] 

机构地区：[1]郑州大学第一附属医院耳鼻咽喉头颈外科,郑州市450052

出　　处：《医药论坛杂志》2010年第3期43-44,97,共3页Journal of Medical Forum

摘　　要：目的总结分析鼻内镜手术修补脑脊液鼻漏的方法及临床疗效。方法回顾性分析郑州大学第一附属医院耳鼻咽喉头颈外科2004年8月-2008年10月收治的36例经鼻内镜手术修补的脑脊液鼻漏患者的完整临床资料,其中外伤性9例,医源性4例,自发性23例。其中4例经2～6周的保守治疗无明显好转后给予鼻内镜下修补术。结果全部病例均找到漏口,其中漏口位于筛窦筛顶者20例,嗅裂区4例,蝶筛区3例,蝶窦11例。34例均一次治愈,2例患者因遗漏漏口而分别行2次和3次鼻内镜修补手术。全部病例均无颅内并发症发生。随访8个月～3.5年,无复发。结论鼻内镜手术修补脑脊液鼻漏具有微创、视野清晰、定位准确、方法灵活、可重复、低并发症和高成功率的优势。Objective To summarize the speciality of transnasal endoscopic technique to manage cerebrospinal fluid rhinorrhea （CSFr）.Method Retrospective review of 36 cases of CSFr treated by the endoscopic technique from Aug.2004 to Oct.2008 at the Department of Otorhinolaryngology of the First Affiliated Hospital of Zhengzhou University.The etiology was traumatic in 9 patients,congenital in 4 patients,and spontaneous in 23 patients.4 patients had experience of 2~6 weeks of expectant treatment before transnasal endoscopic technique.Results All the 36 cases were cured in follow-up from 8 months to 3.5 years.There were 20 cases that the ventage located at ethmoid.4 cases at olfactory cleft,3 cases at sphenoethmoidal area,11 cases at sphenoid.34 cases were successfully repaired once.2 cases were relapsed in defferent poisions and needed to be repaired two or three times.Conclusion Transnasal endoscopic repair of CSFr has many advantages of small wound、 widely visual field、 fixing position accurately、 convenient、repeatability、 less complication and high succssefull rate.

关 键 词：脑脊液鼻漏 鼻内镜手术 并发症 

分 类 号：R765.9[医药卫生—耳鼻咽喉科]