合并共同腔畸形的脑脊液耳漏误诊1例  

A case report of misdiagnosis of cerebrospinal fluid otorrhea with combined common cavity malformation

作　　者：梁乃凡 崔哲洙 金永德 LIANG Naifan;CUI Zhezhu;JIN Yongde(Department of Otolaryngology,Affiliated Hospital of Yanbian University,Yanji 133099,China)

机构地区：[1]延边大学附属医院耳鼻喉科,吉林延吉133099

出　　处：《延边大学医学学报》2024年第6期753-755,共3页Journal of Medical Science Yanbian University

摘　　要：目的:探讨合并内耳共同腔畸形的脑脊液耳漏患者的病因、临床特点、诊治要点,并分析其误诊为脑脊液鼻漏的原因,为此病诊治提供经验教训。方法:回顾性分析1例合并内耳共同腔畸形的脑脊液耳漏误诊为脑脊液鼻漏患者的临床资料,并复习相关文献进行总结。结果:合并内耳畸形的脑脊液耳漏患者临床表现不典型,极易漏诊误诊。鼻内镜检查咽鼓管咽口有助于相关鉴别,颞骨高分辨率CT、MRI和磁共振脊髓水成像可帮助定位。手术用颞骨肌肉修补是有效治疗手段。结论:脑脊液鼻漏诊断时应注意排除脑脊液耳漏,详细的病史采集及检查对早期疾病诊断至关重要。Objective:To investigate the etiology,clinical characteristics and main points of diagnosis and treatment of cerebrospinal fluid(CSF)otorrhea in patients with inner ear common cavity malformation,and analyze the causes of misdiagnosis as CSF rhinorrhea,so as to provide experience and lessons for diagnosis and treatment of the disease.Methods:The clinical data of a case of CSF otorrhea with inner ear common cavity malformation misdiagnosed as CSF rhinorrhea was retrospectively analyzed and the relevant literature was reviewed.Results:Patients with CSF otorrhea combined with inner ear malformation had atypical clinical manifestations and were prone to misdiagnosis and missed diagnosis.Nasal endoscopic examination of the pharyngeal opening of the Eustachian tube was helpful for differentiation,while high-resolution CT,MRI,and magnetic resonance imaging of the temporal bone could assist in localization.Surgical repair of temporal bone muscles was an effective treatment method.Conclusion:Attention should be paid to the exclusion of CSF otorrhea in the diagnosis of patients with CSF rhinorrhea,and detailed medical history collection and examination are essential for early diagnosis of the disease.

关 键 词：内耳畸形 脑脊液耳漏 脑脊液鼻漏 

分 类 号：R764.73[医药卫生—耳鼻咽喉科]