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尽管对脑脊液(CSF)漏的了解已超过300年,但对其处理仍有争议。传统的修复方法可分为颅内及颅外两条径路。对经内窥镜修复4例成人前颅底CSF漏 的结果和并发症进行讨论。 手术在全麻下进行,为减少术中出血使术野清楚,将血压保持在正常范围的低限。病人仰卧,头朝向术者。手术在电视监视器下实施。所有病人均进行CT增强扫描,若扫描阴性和瘘口位置不清,则采用鞘内注射
Despite more than 300 years of knowledge of cerebrospinal fluid (CSF) leaks, its handling remains controversial. Traditional methods of repair can be divided into intracranial and extracranial two pathways. The results and complications of endoscopic repair of CSF leak in 4 patients with anterior skull base were discussed. Surgery under general anesthesia, surgery to reduce intraoperative bleeding clear, the blood pressure to maintain the lower limit of normal range. Patient supine, head toward the surgeon. Surgery is performed under the television monitor. All patients underwent CT enhanced scan, if the scan negative and fistula position is unclear, the use of intrathecal injection