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前颅底硬膜外、硬膜下联合入路治疗外伤后迁延性脑脊液鼻漏临床分析
引用本文:徐立权,徐伟,徐荣.前颅底硬膜外、硬膜下联合入路治疗外伤后迁延性脑脊液鼻漏临床分析[J].中国实用神经疾病杂志,2005,8(5):4-5.
作者姓名:徐立权  徐伟  徐荣
作者单位:复旦大学附属华山医院神经外科,上海,200040;复旦大学附属华山医院神经外科,上海,200040;复旦大学附属华山医院神经外科,上海,200040
摘    要:目的探讨外伤后迁延性脑脊液鼻漏手术方法。方法对10例外伤后迁延性脑脊液鼻漏病人采用额下硬膜外、硬膜下联合入路修补治疗。用CT脑池造影或MRI进行术前漏口定位。结果本组10例随访6~25个月,无严重并发症,无手术死亡。结论联合入路治疗迁延性脑脊液鼻漏安全、可靠,并发症少。

关 键 词:CT脑池造影  脑脊液鼻漏  手术治疗
文章编号:1672-9218(2005)05-0004-02
修稿时间:2005年6月5日

Effects of traumatic cerebrospinal fluid rhinorrhea repaired by the subfrontal associated exdural and indural approach
Xu Liquan,Xu Wei,Xu Rong.Effects of traumatic cerebrospinal fluid rhinorrhea repaired by the subfrontal associated exdural and indural approach[J].Chinese Journal of Practical Neruous Diseases,2005,8(5):4-5.
Authors:Xu Liquan  Xu Wei  Xu Rong
Institution:Xu Liquan,Xu Wei,Xu Rong.Hua shan hospital affiliated of Fudan University,Shanghai 200040
Abstract:Objective To evaluate the effects of surgical treatment of traumatic cerebrospinal fluid rhinorrhea.Methods 10 cases with traumatic cerebrospinal fluid rhinorrhea were repaired via the subfrontal associated exdural and indural approach .To localize cerebrospinal fluid leakage or frontalbase defects,CT cisternogrophy or MRI has been performed before embarking upon operation in patient with cerebrospinal fluid rhinorrhea.Results In this group, good result were obtained, all patients have been followed-up 6 months to 25 months. To date there has been no evidence of recurrence and no surgical death or severe complication. Conclusion The subfrontal associated exdural and indural approach to treat the patients with CSF rhinorrhea is a safe,available and effective procedure. The follow up showed good results and less complication in patients.
Keywords:CT cisternogrophy  Cerebrospinal fluid rhinorrhea  Surgical treatment
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