带蒂骨膜瓣修补外伤性脑脊液鼻漏

目的：探讨一种有效的外伤性脑脊液鼻漏修补方法。方法：分析本科收治的6例经颅修补的脑脊液鼻漏，采用带蒂骨膜瓣翻转缝合及EC胶严密封闭漏口。结果：无手术死亡，术后脑脊液漏均停止。通过4个月-2年随访，仅有1例术后3个月轻微复发，保守治疗自愈。结论：该方法取材方便，抗感染能力强，一次手术成功率高。尤其适应于额窦后壁、筛窦顶部骨折或缺损所致的脑脊液鼻漏。

Repair of traumatic cerebrospinal fluid rhinorrhea with pedunclated periosteum flap

Objective To determine a reliable surgical treatment for traumatic cerebrospinal fluid rhinorrhea. Methods The clinical data of 6 patients with traumatic cerebrospinal fluid rhinorrhea in our department were analyzed. Thin slice CT scanning and three-dimensional reconstruction were performed in all cases to diagnose. Pedicle periosteum flap and EC-adhensive were used in the operation. Results No one died. The cerebrospinal fluid leakage was stopped postoperatively in all cases, although one patient supervened intracranial infection after the operation. In all patients followed up for more than 4 months, one who had minimal recurrence 3 months after the operation had been given conservative treatment. Conclusion The reformed operative method and the application of EC-adhensive improved the success rate. It is an ideal approach to repair traumatic cerebrospinal fluid rhinorrhea.