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目的 :探讨鼻内镜下修补脑脊液鼻漏的注意事项、修补材料的选择和并发症的处理。方法 :对 15例脑脊液鼻漏患者 ,根据术前确定的漏口部位选择不同的手术径路 ;根据漏口的大小选择不同的材料进行修补。结果 :15例患者均在鼻内镜下修补成功 ,其中 3例因脑脊液鼻漏在不同部位再发 ,行 3次以上手术修补 ,修补次数最多达 5次 ,1次修补成功率为 85 .6 %。结论 :脑脊液鼻漏经鼻内镜修补是一种极好的方法 ,具有方便、成功率高、并发症少、可重复多次修补等优点 ,值得推广。
Objective: To discuss the precautions of repairing cerebrospinal fluid rhinorrhea under nasal endoscopy, the choice of repairing materials and the treatment of complications. Methods: Fifteen patients with cerebrospinal fluid rhinorrhea were selected according to the preoperative leak site selected by different surgical approach; according to the size of the drain to choose different materials for repair. Results: All 15 patients underwent endoscopic repair successfully. Among them, 3 patients had recurrence of cerebrospinal fluid rhinorrhea in different sites. Three or more surgeries were performed to repair up to five times and the success rate of one repair was 85.6 %. Conclusion: Cerebrospinal fluid rhinorrhea endoscopic repair is an excellent method, with the advantages of convenient, high success rate, fewer complications, repeated multiple repairs, etc., is worth promoting.