摘要
目的探讨鼻内镜下脑脊液鼻漏修补技巧及围手术期处理经验。方法回顾性分析2005年4月～2011年1月脑脊液鼻漏26例,包括头部外伤12例,鼻息肉及筛窦囊肿手术误损伤颅底4例,鼻-颅底肿瘤切除6例,颅内手术颅底损伤3例,自发性1例。均在鼻内镜下用股外侧肌肌浆和阔筋膜修补,术后给予抗生素及降颅压等治疗。结果随访6～24个月,平均10个月,23例一次修补成功,2例经二次修补成功,1例失败,总治愈率96%(25/26)。结论鼻内镜下脑脊液鼻漏的修补手术应重视手术时机的选择以及围手术期管理和治疗,减少并发症发生,提高治愈率。
Objective To explore nasal endoscopic techniques for repairing cerebrospinal fluid rhinorrhea and peri-operative management.Methods All clinical data of 26 cases between April 2005 to January 2011 were studied retrospectively,consisting of 12 cases of head injury,4 cases of accidental impairment of the base of skull in nasal polyps or ethmoid cyst surgry,6 cases of nose-skull base tumor resection,3 cases of impairment to the base of skull in intracranial surgery and 1 case of spontaneous cerebrospinal fluid rhinorrhea.All the 26 lesions received endoscopic repair using lateral thigh sarcoplasmic and fascia lata.Treatments of administering antibiotics and lowering intracranial pressure in postoperative period were given.Results All the 26 cases were followed up for 6 to 24 months,with an average of 10 months.23 lesions were successfully repaired after the first surgery,and 2 lesions were successfully healed after the second repair and the repair failed in 1 lesion.Total cure rate was 96%（25/26）.Conclusion Nasal endoscopic repair for cerebrospinal fluid rhinorrhea emphasises the choice of the timing of surgery and peri-operative management in order to reduce complications and increase the cure rate.
出处
《中国微创外科杂志》
CSCD
2013年第7期641-644,共4页
Chinese Journal of Minimally Invasive Surgery
关键词
内镜
脑脊液鼻漏
围手术期
Endoscopy
Cerebrospinal fluid rhinorrhea
Peri-operation
