自发性脑脊液耳鼻漏的临床治疗分析  

Clinical characteristics of spontaneous cerebrospinal fluid leakage in cerebrospinal fluid

作　　者：彭有全[1] Peng Youquan(The Fifth People's Hospital of Datong City,Datong,Shanxi 037006)

机构地区：[1]大同市第五人民医院,山西大同037006

出　　处：《基层医学论坛》2018年第34期4803-4804,共2页The Medical Forum

摘　　要：目的探讨自发性脑脊液耳鼻漏的病因、临床表现、诊断及外科处理原则。方法对我院1996年7月—2016年10月收治的9例自发性脑脊液耳鼻漏患者的诊治过程进行回顾性分析,并结合文献讨论。结果9例患者行颞骨CT和鼓室穿刺检查均及时正确诊断,经鼓室探查脑脊液漏修补全部治愈。随访1年～9年,患者均无脑脊液耳鼻漏复发。结论复发性脑膜炎伴耳聋和鼻流清水史的患者,应考虑自发性脑脊液耳鼻漏可能,颞骨CT和鼓室穿刺可明确诊断,鼓室探查、脑脊液漏修补为有效治疗方法。Objective To investigate the etiological characteristics of spontaneous cerebrospinal fluid ear rhinorrhea.Methods The clinical data of 9 cases of congenital spontaneous cerebrospinal fluid otorhinorrhea treated on July 1st 1996 and October 2016 were analyzedretrospectively.Results 9 patients underwent temporal bone CT and tympanic puncture for timely and correct diagnosis.Cerebrospinal fluid leakage repair was cured by tympanic exploration and followed up for 1 to 9 years.There was no recurrence of cerebrospinal fluid ear rhinorrhea in patients with recurrent meningitis with deafness and rhinorrhea.Conclusion CT and tympanic puncture examination of temporal bone should be performed in patients with recurrent meningitis with a history of deafness and rhinorrhagia.Tympanic exploration and cerebrospinal fluid leakage repair is the main treatment of this disease.Clinical characteristics of spontaneous cerebrospinal fluid leakage in cerebrospinal fluid.

关 键 词：自发性脑脊液耳鼻漏 病因 临床表现 诊断 治疗 

分 类 号：R765.24[医药卫生—耳鼻咽喉科]