鼻内窥镜修补脑脊液鼻漏临床回顾性分析  

THE RETROSPECTIVE CLINICAL ANALYSIS OF ENDOSCOPIC REPAIR OF CEREBROSPINAL FLUID RHINORRHEA

作　　者：刘振[1] 刘健 刘亭彦[1] 马秀芳[1] 吴玉坤[1] 蒲章杰[1] 

机构地区：[1]滨州医学院附属医院耳鼻喉科,滨州市256603 [2]滨州地区河务局保健科

出　　处：《滨州医学院学报》2003年第3期168-170,共3页Journal of Binzhou Medical University

摘　　要：目的 :探讨鼻内窥镜下修补脑脊液鼻漏的注意事项、修补材料的选择和并发症的处理。方法 :对鼻内窥镜下脑脊液鼻漏修补病例进行回顾性分析。结果 :垂体瘤放疗术后并发脑脊液鼻漏 1例 ,自发性 2例 ,外伤性 6例 ,医源性 (鞍区手术 ) 6例 ,均在鼻内窥镜下修补成功 ,修补成功率达 85 .6%,其中有 2例因脑脊液鼻漏在不同位置再发 ,行 3次以上修补 ,修补次数最多达 5次。结论 :脑脊液鼻漏经鼻内镜修补是一种极好的方法 ,具有方便、成功率高、并发症少、可重复多次修补等优点 ,值得推广。Objective:To evaluate points for attention,selection of material and management of complications.Methods:To analyze the cases of endoscopic repair of cerebrospinal fluid rhinorrhea retrospectively.Results:One case of pituitary tumour was complicated by CSF rhinorrhea after radiotherapy,Two cases were spontaneous,six were traumatic,and six were iatrogenic.All were successfuly repaired by endoscopy.The successful rate was 85 6%.Two cases were relapsed in different positions and more than three times of repair were needed,with a maximum five times.Conclusion:Endoscopic repair of cerebrospinal fluid rhinorrhea was a very good method with convenience,high successful rate,and few complications.The method is worth spreading.

关 键 词：脑脊液鼻漏 内窥镜 手术 并发症 

分 类 号：R765.9[医药卫生—耳鼻咽喉科]