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经鼻内镜修补复发性脑脊液鼻漏及颅底缺损
引用本文:刘丕楠,李永华,倪富强. 经鼻内镜修补复发性脑脊液鼻漏及颅底缺损[J]. 临床耳鼻咽喉头颈外科杂志, 2006, 20(11): 489-491
作者姓名:刘丕楠  李永华  倪富强
作者单位:首都医科大学附属北京天坛医院神经外科,北京,100050;首都医科大学附属北京天坛医院耳鼻咽喉科
摘    要:目的:探讨脑脊液鼻漏修补失败的原因及鼻内镜手术修补的方法。方法:经鼻内镜修补18例脑脊液鼻漏手术修补后复发患者。结果:经鼻内镜1次修补成功13例,2次修补成功3例,2例患者2次手术失败后失访。结论:鼻内镜修补复发性脑脊液鼻漏有效。影响手术成功的因素有:漏口位置、修补材料及放置技术、颅骨缺损的面积及漏口定位是否准确等。

关 键 词:脑脊液鼻漏  内镜术  再手术
文章编号:1001-1781(2006)11-0489-03
收稿时间:2005-10-25
修稿时间:2005-10-25

Repair of recurrent cerebrospinal fluid rhinorrhea and skull base defect by endoscope
LIU Pinan,LI Yonghua,NI Fuqiang. Repair of recurrent cerebrospinal fluid rhinorrhea and skull base defect by endoscope[J]. Journal of clinical otorhinolaryngology, head, and neck surgery, 2006, 20(11): 489-491
Authors:LIU Pinan  LI Yonghua  NI Fuqiang
Affiliation:Department of Neurosurgery, Affiliated Beijing Tiantan Hospital of Capital University of Medical Sciences, Beijing, 150001, China.
Abstract:Objective:To evaluate the failed causes of repairing the cerebrospinal fluid rhinorrhea and the use of endoscope techniques.Method:Eighteen cases with recurrent cerebrospinal fluid(CSF) rhinorrhea were retrospective studied.Result:Thirteen cases were repaired successfully at the first time transnasal endoscope and three cases succeed at the second attempt, two cases lost following-up after the failed repairing.Conclusion:Endoscopic repairing of CSF rhinorrhea is effective. The failure factors were:the leak location, repairing material and placement techniques, the area of skull baes defect,correct localizing leak etc.
Keywords:Cerebrospinal fluid rhinorrhea, Endoscopic  Reoperation
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