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脑脊液鼻漏24例临床分析
引用本文:廖辉,孔勇刚,黄小林,刘仁忠,陶泽璋,吴玉珍. 脑脊液鼻漏24例临床分析[J]. 临床耳鼻咽喉头颈外科杂志, 2010, 24(2)
作者姓名:廖辉  孔勇刚  黄小林  刘仁忠  陶泽璋  吴玉珍
作者单位:1. 武汉大学人民医院耳鼻咽喉头颈外科,武汉,430000
2. 鄂州市中心医院耳鼻咽喉头颈外科
3. 武汉大学人民医院神经外科
摘    要:目的:探讨脑脊液鼻漏的诊断,治疗方法及其效果。方法:回顾性分析2003-01-2008-09收入武汉大学人民医院耳鼻咽喉头颈外科和神经外科的24例脑脊液鼻漏患者临床资料,耳鼻咽喉头颈外科18例,神经外科6例。结果:随访4~72个月24例患者均获治愈,保守治疗6例,手术治疗共18例,其中经鼻内镜下手术12例,鼻外入路4例,显微镜下经鼻入路2例。结论:经鼻内镜修补术在治疗经保守治疗无效的脑脊液鼻漏中具有安全,有效,创伤小,复发率低,术后头面部无切口的优点,尤其适用于漏口位于筛板和蝶窦区的患者。而对于复杂、缺损口较大、鼻内镜不易观察到漏口的脑脊液鼻漏,应选择鼻外或颅内入路术式进行修补。

关 键 词:脑脊液鼻漏  鼻内镜术  

Clinic analysis of cerebrospinal rhinorrhea in 24 cases
LIAO Hui,KONG Yonggang,HUANG Xiaolin,LIU Renzhong,TAO Zezhang,WU Yuzhen. Clinic analysis of cerebrospinal rhinorrhea in 24 cases[J]. Journal of clinical otorhinolaryngology, head, and neck surgery, 2010, 24(2)
Authors:LIAO Hui  KONG Yonggang  HUANG Xiaolin  LIU Renzhong  TAO Zezhang  WU Yuzhen
Affiliation:1Department of Otorhinolaryngology/a>;Renmin Hospital of Wuhan University/a>;Wuhan/a>;430000/a>;China/a>;2Department of Otorhinolaryngology/a>;Central Hospital of Ezhou/a>;3Department of Neurosurgery/a>;Renmin Hospital of Wuhan University
Abstract:Objective:To discuss the clinical experience of diagnosing and managing of cerebrospinal fluid(CSF)rhinorrhea.Method:Twenty-four cases of cerebrospinal rhinorrhea were analysed retrospectively from Janu 2003 to Sept 2008,among which 18 cases from department of Otolaryngology Head and Neck Surgery and 6 cases from Neurosurgery.Result:Postoperative follow-up lasted from 4 months to 72 months.All the cases were successfully cured,among which 6 cases with conservative treatment and 18 cases under surgery,and no...
Keywords:cerebrospinal rhinorrhea  endoscopic  
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