内镜经鼻入路脑膜脑膨出伴脑脊液鼻漏的外科治疗

目的 探讨内镜经鼻入路治疗鼻部脑膜脑膨出伴脑脊液鼻漏的可行性。并讨论围手术期及术后并发症的处理。方法 回顾性分析11例经鼻脑膜脑膨出伴脑脊液鼻漏病人的临床资料，总结膨出物的位置，颅底骨质缺损大小，膨出物切除后颅底修补方法及术后疗效。结果 10例病人脑脊液鼻漏1次修补成功，1例病人2次修补成功，术后随访6-3个月未见复发，其中1例术后出现脑膜炎并发症，经抗炎治愈。结论 内镜经鼻入路治疗鼻部脑膜脑膨出伴脑脊液鼻漏是一种安全、有效、微创的方法。

Management of endonasal encephalomeningocele with cerebrospinal fluid rhinorrhea by transnasal endoscopic surgery

Objective To explore the feasibility of endoscopic endortasal approach for endonasal encephalomeningocele with eerebrospthal fluid rhinorrhea and managements during the perioperative period and of postoperative complications. Methods Clinicai data from 11 Cases of meuingoencepbalocele with cerebrospinal fluid rhinorrhea were retrospectively reviewed for the position of the dilatant, size of skull base defect, method for repairing skull base after dilatant excision and surgical effect, Results Once repair succeeded in 10 cases, the second repair was needed in 1. Follow-up during 6-30 months, no recurrence was seen. Meningitis appeared and cured by internal medicine in 1 case. Conclusion The treatment of endonasal encephalomeningocele with cerebrospinal fluid rhinorrhea via endoscopic endonasal approach is safe, effective and minimally invasive.