自发性脑脊液鼻漏的神经内镜治疗体会  

The treatment of spontaneous cerebrospinal fluid rhinorrhea under endoscope

作　　者：赵恒[1] 杜郭佳[1] 汪永新[1] 朱国华[1] 王丙乾[1] 王鑫[1] 张慧端[1] 范雁东[1] 党木仁[1] 

机构地区：[1]新疆医科大学第一附属医院神经外科,乌鲁木齐830054

出　　处：《中华神经外科杂志》2011年第8期832-834,共3页Chinese Journal of Neurosurgery

摘　　要：目的探讨神经内镜下治疗自发性脑脊液鼻漏的疗效。方法回顾性分析8例经神经内镜修补的自发性脑脊液鼻漏的临床资料，鼻漏持续时间14d-20年，伴有脑积水者1例。所有患者均采用神经内镜下修补手术，伴有脑积水者行脑室-腹腔分流术，术后给予降颅压治疗。结果所有患者均一次治愈，其中7例术后配合腰椎穿刺、腰大池引流，另1例伴有脑积水患者行脑室-腹腔分流术。术后随访6—42个月均无复发。结论神经内镜下脑脊液鼻漏修补术是治疗自发性脑脊液鼻漏的有效方法，配合腰椎穿刺、腰大池引流或脑室-腹腔分流有助于手术的成功。Objective To investigate the treatment of spontaneous cerebrospinal fluid rhinorrhea under endoscope. Methods Clinical data of 8 cases of spontaneous cerebrospinal rhinorrhea. The time ranged from 14 days to 20 years. The cerebrospinal fluid rhinorrhea was accompanied by hydrocephalus in 1 patient. All patients were treated under endoscope, and the patient with hydrocephalus was taked ventriculo -peritoneal（ V -P） shunt exploration, the treatment of lowering intracranial pressure were performed in all the patients. Results We performed endoscopic repair in all 8 patients, combined with lumbar puncture and lumbar cisterna drainage in 7 cases, and ventriculo -peritoneal（ V -P） shunt in 1 case with hydrocephalus. A follow - up of 6 to 42 months was performed, and no case recurred. Conclusion Combined with lumbar puncture, lumbar cisterna drainage or V - P shunt, Endoscopic repair of spontaneous cerebrospinal fluid rhinorrhea can be an effective method.

关 键 词：脑脊液鼻漏 自发性 神经内镜 治疗 

分 类 号：R651.1[医药卫生—外科学]