65例脑脊液鼻漏患者不同治疗方法的疗效对比分析

回顾分析 65例脑脊液鼻漏病例。随访 3个月～ 1 0年 ,其中 2 6例经保守治疗痊愈 ,治愈率 40 %。 3 9例经保守治疗无效的患者 9例自动离院 ;行开颅手术修补 7例 ,其中 3例治愈 ;行鼻外入路修补术 3例 ,全部治愈 ;经鼻内镜修补术 2 0例 ,其中 1次手术治愈 1 9例 ,2次手术治愈 1例。经鼻内镜脑脊液鼻漏修补术的成功率为 1 0 0 % ,其中 1次修补成功率为 95 %。结果提示 :鼻内镜下脑脊液鼻漏修补术是外科治疗脑脊液鼻漏的首选术式

Analysis of Treatment Result of 65 Patients with Cerebrospinal Fluid Rhinorrhea

To sum up the treatment experience in dealing with cerebrospinal fluid (CSF) rhinorrhea, a retrospective study of 65 patients with CSF rhinorrhea from March 1990 to December 2002 was managed. 65 patients were treated with conservative therapy. 26 cases were cured after conservative therapy. Of the 7 with transcranial repair, 3 cases were cured. All 3 with extranasal repair succeeded. Of the 20 with transnasal endoscopic surgery, 95%(19/20) cases with endoscopic repair had no CSF rhinorrhea after a first surgery. One succeeded with a second attempt. Ultimately 100%(20/20) of the patients were cured with endoscopic approach. The indication, complication, advantages and disadvantanges of 4 methods were analysed. All patients were followed up from 3 months to 10 years. Results show that transnasal endoscopic surgery is the best way for repairing CSF rhinorrhea.