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经鼻内镜外伤性脑脊液鼻漏修补术
引用本文:李永湘 吴鸿泉 张武宁 黄坚成 何江 毛海燕. 经鼻内镜外伤性脑脊液鼻漏修补术[J]. 中国耳鼻咽喉颅底外科杂志, 2013, 19(6): 527-529
作者姓名:李永湘 吴鸿泉 张武宁 黄坚成 何江 毛海燕
作者单位:[1]广西医科大学第六附属医院耳鼻咽喉科,广西玉林537000 [2]广西医科大学第一附属医院耳鼻咽喉科,广西南宁530022
摘    要:目的探讨鼻内镜下外伤性脑脊液鼻漏修补术的方法和疗效。方法回顾性分析2008年11月-2012年5月收治的8例外伤性脑脊液鼻漏患者,采用鼻内镜下修补术,并对其手术方法和疗效进行总结。结果1次手术治愈7例,1例再次手术治愈。1例术后并发颅内感染,经对症支持治疗后全愈出院。随访6-24个月,无复发。结论鼻内镜下脑脊液鼻漏修补术是一种安全、有效和微创的手术方式。

关 键 词:脑脊液鼻漏,外伤性  鼻内镜  疗效

Endoscopic repair of traumatic cerebrospinal fluid rhinorrhea
LI Yong-Xiang,TUN Hong-Quan,ZHANG Wu-Ning,HUANG Jian-Cheng,HE Jiang,MAO Hai-Yan. Endoscopic repair of traumatic cerebrospinal fluid rhinorrhea[J]. Chinese Journal of Otorhinolaryngology-skull Base Surgery, 2013, 19(6): 527-529
Authors:LI Yong-Xiang  TUN Hong-Quan  ZHANG Wu-Ning  HUANG Jian-Cheng  HE Jiang  MAO Hai-Yan
Affiliation:LI Yong-xiang, WU Hong-quan, ZHANG Wu-ning, et al. ( Department of Otolaryngology, the Sixth Affiliated Hospital, Guangxi Medical University, Yuning 537000, China )
Abstract:ObjectiveTo study the technique and clinical effect of endoscopic repair of traumatic cerebrospinal fluid rhinorrhea (CSFR). MethodsClinical data of 8 patients with traumatic CSFR repaired endoscopically from Nov 2008 to May 2012 was analyzed retrospectively. The surgical technique and clinical effect were summarized.ResultsOf all the 8 cases, 7 (87.5%) were cured with initial operation and one was healed at the second attempt. As for the complications, one developed intracerebral infection which was cured afterwards. All patients were followed up for 6 to 24 months postoperatively, and none of them had recurrence during this period.ConclusionEndoscopic surgery, with advantages of high safety, good effect and minimal invasion, is worthy of clinic popularization in repair of traumatic CSFR.
Keywords:Cerebrospinal fluid rhinorrhea, traumatic  Endoscope  Therapeutic effect
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