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目的:探讨经鼻内窥镜修补脑脊液鼻漏的效果。方法:15例脑脊液鼻漏,其中外伤10例,鼻内窥镜术后2例,脑膜瘤术后2例,垂体瘤术后1例,病史超过1个月的10例,经鼻内窥镜鼻内进路行瘘孔修补术。结果:全部病例均经1次手术修补成功,随访3个月~6年无复发。结论:在鼻内窥镜直视下扩开瘘孔,并用肌肉填塞形成嵌顿是手术成功率高的重要因素
Objective: To explore the effect of nasal endoscopic repair of cerebrospinal fluid rhinorrhea. Methods: Fifteen cases of cerebrospinal fluid rhinorrhea, including 10 cases of traumatic injury, 2 cases of endoscopic sinus surgery, 2 cases of meningioma, 1 case of pituitary adenoma and 10 cases of history over 1 month. Intra-nasal approach fistula hole repair. Results: All the cases were successfully surgically repaired by one operation. No recurrence was observed after 3 months to 6 years of follow-up. Conclusion: It is an important factor for the high success rate of operation to expand the fistula hole under the direct vision of the nasal endoscope and form the incarceration with muscle tamponade