| 经鼻内镜下脑脊液鼻漏修补术 |
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| 引用本文： | 鲍诗平,刘勇刚,张秋航. 经鼻内镜下脑脊液鼻漏修补术[J]. 中国耳鼻咽喉头颈外科, 2009, 16(11): 637-639 |
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| 作者姓名： | 鲍诗平 刘勇刚 张秋航 |
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| 作者单位： | 首都医科大学宣武医院耳鼻咽喉头颈外科,北京,100053;首都医科大学宣武医院耳鼻咽喉头颈外科,北京,100053;首都医科大学宣武医院耳鼻咽喉头颈外科,北京,100053 |
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| 摘 要： | 目的探讨经鼻内镜下脑脊液鼻漏修补术的临床应用。方法2003年10月～2008年12月诊治的38例行经鼻内镜下脑脊液鼻漏修补术的患者,其中外伤性脑脊液鼻漏21例,自发性脑脊液鼻漏10例,其他原因7例。结果术后随访6个月～3年,1次手术成功率为92.1%。2次手术成功2例,1例3次手术成功,术后脑膜炎和急性梗阻性脑积水各1例。结论经鼻内镜下脑脊液鼻漏修补术成功率高,创伤小,应作为首选治疗方法;漏口定位和处理、适宜的外科修补技术及术后处理是手术成功的关键。
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| 关 键 词： | 内窥镜检查 脑脊液鼻漏 颅底 |
| 收稿时间： | 2009-07-23 |
Endoscopic endonasal approaches for repair of cerebrospinal fluid rhinorrhea |
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| BAO Shiping,LIU Yonggang,ZHANG Qiuhang. Endoscopic endonasal approaches for repair of cerebrospinal fluid rhinorrhea[J]. Chinese Archives of Otolaryngology-Head and Neck Surgery, 2009, 16(11): 637-639 |
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| Authors: | BAO Shiping LIU Yonggang ZHANG Qiuhang |
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| Affiliation: | BAO Shiping,LIU Yonggang,ZHANG Qiuhang (Department of Otolaryngology Head and Neck Surgery,Xuanwu Hospital,Capital Medical University,Beijing,100053,China) |
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| Abstract: | OBJECTIVE To describe the surgical experience in the repair of cerebrospinal fluid (CSF)rhinorrhea treated by endoscopic transnasal approaches. METHODS From Oct. 2003 to Dec. 2008, 38 patients with CSF rhinorrhea were treated. Endoscopic endonasal approaches and surgical techniques in repair of CSF leaks were reviewed in a series of 38 patients included 21 patients with traumatic CSF leakage, 10 patients with spontaneous CSF leakage, and 7 patients with other reasons. RESULTS Followup of 6 months to 3 years... |
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| Keywords: | Endoscopy Cerebrospinal Fluid Rhinorrhea Skull Base |
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