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目的评价采用自体材料经鼻内镜脑脊液鼻漏修补术的手术方法和治疗效果。方法回顾性分析2010年至2015年诊断为脑脊液鼻漏的16例患者的临床资料。所有患者行鼻内镜下脑脊液鼻漏修补术,其中自发性6例,外伤性5例,医源性5例。采用的修补材料有颞肌、颞肌筋膜、中鼻甲黏膜、中鼻甲骨、鼻中隔黏膜、下鼻甲黏膜、阔筋膜、腹部脂肪、钩突黏膜等,均为自体材料。结果 16例患者中,一次修补成功15例,二次手术修补成功1例。术中及术后均未发生严重并发症。结论鼻内镜下自体材料脑脊液鼻漏修补术是一种安全、有效和微创的手术方式,成功率高。术前准确的漏口定位、选择合适的手术入路和适宜的修补材料是手术成功的关键。
Objective To evaluate the surgical methods and the therapeutic effects of rhinopharyngeal rhinorrhea with autologous material. Methods The clinical data of 16 patients with CSF rhinorrhea diagnosed from 2010 to 2015 were retrospectively analyzed. All patients underwent nasal endoscopic rhinorrhea repair, including 6 cases of spontaneous trauma in 5 cases, iatrogenic in 5 cases. Repair materials used are the temporal muscle, temporal fascia, middle turbinate mucosa, middle turbinate, nasal septum mucosa, inferior turbinate mucosa, fascia lata, abdominal fat, hook mucosa, etc., are self-material. Results Of the 16 patients, 15 were successfully repaired and 1 was successfully repaired by the second operation. No intraoperative and postoperative complications occurred. Conclusion Endoscopic rhinorrhea repair is a safe, effective and minimally invasive surgical procedure with high success rate. Accurate preoperative leak location, select the appropriate surgical approach and appropriate repair materials is the key to the success of the operation.