脑脊液鼻漏的治疗——附82例报告

目的　总结脑脊液鼻漏的诊治经验。方法　回顾分析１９９５年—１９９９年８２例脑脊液鼻漏的临床资料，男６１例，女２１例。年龄２岁—８２岁。颅脑外伤性脑脊液鼻漏４３例；医源性（鞍区术后）脑脊液鼻漏１８例：自发性脑脊液鼻漏２１例。结果　３６例手术修补，脑脊液总封闭率８６．１１％，其中耳鼻喉科修补，成功率９２％（２３／２５例），神经科开颅修补１１例，成功率７２．７％（８／１１例）。结论：脑脊液鼻漏颅外进路修补疗效良好，特别是经鼻内窥镜修补。

The treatment of cerebrospinal fluid rhinorrhea:a report of 82 cases

Objective To summarize our experience in managing cerebrospinal fluid(CSF) rhinorrhea. Methods 82 cases of cerebrospinal fluid rhinorrhea treated in our department from 1995 to 1999 were reviewed retrospectively. 61 were male and 21 were female.They ranged from 2 to 82 years old.CSF leak was caused by trauma in 43 cases,iatrogenic injury in 18 cases and spontaneous leak occurred in 21 cases. Results 36 cases underwent surgical repair.The closure rate was 86 11%.Otorhinolaryngologists underwent 25 cases,and 23 cases succeeded (92%).The department of neurology underwent 11 cases,and 8 cases succeeded (72 7%). Conclusions The repair of CSF leak through transnasal extracranial approach can obtain better therapeutic results,especially through intranasal endoscopy.