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目的:探讨鼻内型儿童脑膜脑膨出的诊断和鼻内镜微创外科治疗的方法。方法:2例均经CT和MRI确诊。在鼻内镜或耳内镜下,经鼻吸出膨出于鼻腔的脑膜组织,判断缺损位置和范围,取同侧大腿外肌肉和筋膜封堵颅底。结果:2例均经1次手术治愈,术后随访1~2年未见复发,无其他并发症。结论:CT和MRI在诊断鼻内型脑膜脑膨出具有重要价值。鼻内型脑膜脑膨出可选择经鼻内镜的鼻内进路手术方式,鼻内镜下经鼻进路手术修补鼻内型脑膜脑膨出具有安全、简便、损伤小、并发症少等优点。
Objective: To investigate the diagnosis of endometrial encephalocele in children with endometriosis and the minimally invasive surgical treatment of endoscopic sinus surgery. Methods: Two cases were diagnosed by CT and MRI. In the endoscopic or endoscopic nasal aspiration in the nasal cavity by the meningeal tissue to determine the location and extent of defects, and ipsilateral thigh muscle and fascia blocking the skull base. Results: Two cases were cured by one operation. No recurrence was found after one to two years of follow-up. There were no other complications. Conclusion: CT and MRI in the diagnosis of intranasal meningoencephalic have important value. Intranasal intracerebral meningoencephalitis can choose endoscopic nasal approach, endoscopic nasal approach to repair intranasal meningoencephalitis is safe, simple, less damage, fewer complications advantage.