前颅底硬膜外、硬膜下联合入路治疗外伤后迁延性脑脊液鼻漏临床分析

目的探讨外伤后迁延性脑脊液鼻漏手术方法.方法对10例外伤后迁延性脑脊液鼻漏病人采用额下硬膜外、硬膜下联合入路修补治疗.用CT脑池造影或MRI进行术前漏口定位.结果本组10例随访6～25个月,无严重并发症,无手术死亡.结论联合入路治疗迁延性脑脊液鼻漏安全、可靠,并发症少.

Effects of traumatic cerebrospinal fluid rhinorrhea repaired by the subfrontal associated exdural and indural approach

Objective To evaluate the effects of surgical treatment of traumatic eerebrespinal fluid rhinorrhea. Methods 10 cases with traumstic cerebrospinal fluid rhinorrhea were repaired via the subfrontal associated exdural and indural approach . To localize cerebrospinal fluid leakage or frontalbase defects, CT cistemogrophy or MRI has been performed before embarking upon operation in patient with cerebrospinal fluid rhinorrhea. Results In tiffs group, good result were obtained, all patients have been followed - up 6 months to 25 months. To date there has been no evidence of recurrence and no surgical death or severe complication. Conclusion The subrontal associated exdural and indural approach to treat the patients with CSF rhinorrhea is a safe, available and effective procedure. The follow up showed good results and less complication in patients.