翼点及扩大翼点入路术后脑脊液漏的防治  

The Causes and Treatments for Cerebrospinal Fluid Leakage after Surgery by Pterion Approcach and Enlarged Pterion Approach

作　　者：李宪国[1] 金保山[1] 高文宏[1] 

机构地区：[1]长江大学荆州临床医学院荆州市中心医院神经外科,湖北荆州434020

出　　处：《长江大学学报（自科版）（下旬）》2013年第1期1-2,4,共2页Journal of Yangtze University

摘　　要：目的:探讨翼点及扩大翼点入路术后脑脊液漏的预防和治疗。方法:对医院经翼点及扩大翼点入路术后发生脑脊液漏的53例患者的资料进行回顾性分析。结果:保守治疗28例,切口加固缝合并加压包扎12例,8例行局部引流,5例行手术治疗。51例痊愈出院,2例死亡。结论:脑脊液漏的处理关键在于预防。一旦发生脑脊液漏,要根据漏的原因确定治疗方案,大都可以根据保守治疗痊愈,保守治疗无效则需要手术治疗,预防颅内感染是治疗的关键。Objective: To investigate the causes and treatments for cerebrospinal fluid (CSF) leakage after surgery by pterion approcach and enlarged pterion approach.Methods: The data of 53 patients, who were performed with surgery by pterion approcach and enlarged pterion approach in the department and underwent cerebrospinal fluid leakage after surgery, were reviewed retrospectively.Results: In 28 cases patients were cured by conservative treatments;in 12 patients were cured with strengthened suture of the cut and pressured bandaging;in 8 patients were performed with local drainage and in 5 patients were operated again with sealing and repairing the broken cerebral dura mater and sinus.Overall, 51 cases were cured and 2 died.Conclusion: The main management for CSF leakage lies in precautions.When CSF leakage happens, feasible therapeutic regimen should be made according to the cause of CSF leakage.Most could be cured by conservative treatments.Operations must be performed when conservative treatments are inefficient.To prevent intracranial infection is the key to treating CSF leakage.

关 键 词：翼点入路 脑脊液漏 并发症 

分 类 号：R615.1[医药卫生—外科学]