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目的探讨鼻内镜下修补脑脊液鼻漏的疗效。方法回顾分析35例患者的临床资料。结果本组35例CFR患者中23例1次修复成功,术后无脑脊液鼻漏复发。随访6个月～2年未见脑脊液鼻漏远期复发、脑膜炎及鼻窦囊肿形成。结论经鼻内镜脑脊液鼻漏修补术在直视下操作,能够准确定位,损伤小,不损伤脑组织,避免开颅手术易致颅内并发症的危险,值得临床应用。
Objective To investigate the efficacy of nasal endoscopic repair of cerebrospinal fluid rhinorrhea. Methods The clinical data of 35 patients were retrospectively analyzed. Results Of the 35 patients with CFR, 23 cases were successfully repaired in one time. No recurrence of cerebrospinal fluid rhinorrhea occurred after operation. No follow-up 6 months to 2 years long-term recurrence of cerebrospinal fluid rhinorrhea, meningitis and sinuses cyst formation. Conclusions Transnasal endoscopic rhinorrhea repair operation under direct vision can accurately locate, damage small, does not damage the brain tissue, avoid craniotomy prone to intracranial complications risk, it is worth clinical application.