扩大额下硬膜外入路治疗外伤性脑脊液鼻漏  

Management of traumatic cerebrospinal fluid fistulae via the extended subfrontal exdural approach

作　　者：黄金生[1] 黄敏文[1] 林荫[1] 叶宗旺[1] 宋冬雷[2] 

机构地区：[1]福建省南平市第一医院 [2]上海华山医院

出　　处：《浙江创伤外科》2003年第6期351-353,共3页Zhejiang Journal of Traumatic Surgery

摘　　要：目的探讨外伤性脑脊液鼻漏的手术方法。方法对14例创伤性脑脊液鼻漏采用扩大额下硬膜外入路修补治疗。用CT、MRI、CT脑池造影进行术前瘘口定位。结果本组14例随访3个月～3年。除8例嗅觉丧失或减退外无严重并发症,无手术死亡。结论扩大额下硬膜外入路适用于脑脊液鼻漏的修补,手术安全,并发症少,疗效满意。Objective To evaluate the effects of surgical treatment in the patients with traumatic cerebrospinal fluid rhinorrhea. Methods 14 cases of traumatic cerebrospinal fluid rhinorrhea were repaired via the extended subfrontal exedural approach. To localize of cerebrospinal fluid leakage or frontalbase defects, Coronal bone window CT scan, MRI, CT cisternography were performed before operation. Results All patients had been followed-up for 3 mouths to 3 years. There were no leakage recurrence, no surgical mortality or severe complications except for anosmia gound in 8 cases. Conclusion The repairs of CSF rhinorrhea via extended subfrontal exdural approach is a safe, available and effective procedure with favourable results.

关 键 词：外伤性脑脊液鼻漏 手术治疗 扩大额下硬膜外入路 前颅底骨折 

分 类 号：R765.24[医药卫生—耳鼻咽喉科] R651.15[医药卫生—临床医学]