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鼻内镜修补脑脊液鼻漏的临床分析
引用本文:刘振,张湘民,柴丽萍,文卫平,张伟红,胡丽茎. 鼻内镜修补脑脊液鼻漏的临床分析[J]. 临床耳鼻咽喉头颈外科杂志, 2004, 18(11): 668-669
作者姓名:刘振  张湘民  柴丽萍  文卫平  张伟红  胡丽茎
作者单位:1. 佛山市第一人民医院耳鼻咽喉科
2. 中山大学附属第一医院耳鼻咽喉科,广州,510080
摘    要:
目的:探讨鼻内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15例脑脊液鼻漏患者,根据术前确定的漏口部位选择不同的手术径路;根据漏口的大小选择不同的材料进行修补。结果:15例患者均在鼻内镜下修补成功,其中3例因脑脊液鼻漏在不同部位再发,行3次以上手术修补,修补次数最多达5次,1次修补成功率为85.6%。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。

关 键 词:脑脊液鼻漏 内镜术 并发症
文章编号:1001-1781(2004)11-0668-02
修稿时间:2003-02-27

The clinical analysis of endoscopic repair of cerebrospinal fluid rhinorrhea
LIU Zhen ZHANG Xiangmin CHAI Liping WEN Weiping ZHANG Weihong HU Lijing. The clinical analysis of endoscopic repair of cerebrospinal fluid rhinorrhea[J]. Journal of clinical otorhinolaryngology, head, and neck surgery, 2004, 18(11): 668-669
Authors:LIU Zhen ZHANG Xiangmin CHAI Liping WEN Weiping ZHANG Weihong HU Lijing
Affiliation:Department of Otorhinolaryngology, First Affiliated Hospital of Zhongshan University, Guangzhou, 510630, China.
Abstract:
Objective: To evaluate the points for attention, repair material and the treatment of complications in repairing cerebrospinal fluid rhinorrhea.Method:Fifteen cases of cerebrospinal fluid rhinorrhea were repaired.One case was pituitary tumor involving radiotherapy,two cases were spontaneous, six were traumatic, six were traumatic,six were iatrogenic.Result:All cases were successfully repaired by endoscopy.The successful rate were 85.6%.Some cases were relapsed in different positions and some cases needed to be repaired more than two times even five tiems. Conclusion: Endoscopic repair of cerebrospinal fluid rhinorrhea is a very good method with the virtue of convenient, high successful rate, less complication and repeatability.The method is worth spreading.
Keywords:Cerebrospinal fluid rhinorrhea  Endoscopy operation  Complication
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