鼻窦肿瘤术后并发脑脊液鼻漏

目的 探讨鼻窦肿瘤特别是额、筛窦肿瘤手术并发脑脊液鼻漏的治疗。方法 回顾性分析１４例鼻窦肿瘤术后并发脑脊液鼻漏的临床资料。结果 １４例中有７例在术中发现瘘孔。修补采用额肌瓣２例，阔筋膜和肌肉一例，ＥＣ耳胶和鼻中隔粘骨膜３例，ＴＪ骨水泥１例。另７例术后抽纱条后发现脑脊液鼻漏，经保守治疗行降脑压、抗炎等自愈。无一例并发颅内感染。结论 鼻窦肿瘤手术中应详细检查，发现瘘孔行一期修补术。

Cerebrospinal aporrhinosis of nasal sinus operation]

OBJECTIVE: To study the treatment of cerebrospinal aporrhinosis after nasal sinus operation, especially frontal, ethmoid tumor resection. METHODS: Fourteen cases of cerebrospinal aporrhinosis after nasal sinus operations were reported. RESULTS: Seven cases of cerebrospinal apporrhinosis were found during the operation. Two cases were repaired with tensor facia latae, 3 with mucosoperichondrium of nasal septum and EC otocerebral glue and 1 with TJ bone cement. Seven cases cerebrospinal aporrhinosis were found after the operations when intranasal packing was removed. They were cured by cerebral decompression and antibiotics, none complicated with intracranial infection. CONCLUSION: Careful examination should be taken daring the operation. If aporrhinosis was found, it should be repaired immediately.