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目的:探讨脑脊液鼻漏修补失败的原因及鼻内镜手术修补的方法。方法:经鼻内镜修补18例脑脊液鼻漏手术修补后复发患者。结果:经鼻内镜1次修补成功13例,2次修补成功3例,2例患者2次手术失败后失访。结论:鼻内镜修补复发性脑脊液鼻漏有效。影响手术成功的因素有:漏口位置、修补材料及放置技术、颅骨缺损的面积及漏口定位是否准确等。
Objective: To investigate the causes of failure of cerebrospinal fluid rhinorrhea repair and methods of endoscopic sinus surgery. Methods: Endoscopic repair of 18 patients with recurrent cerebrospinal fluid rhinorrhea surgery. Results: Thirteen cases were successfully repaired by endoscopic sinus surgery, three cases were successful after two repairs, and two cases were lost after two unsuccessful operations. Conclusion: Endoscopic repair of recurrent cerebrospinal fluid rhinorrhea effective. The factors affecting the success of surgery are: leak location, repair materials and placement techniques, the size of the skull defect and leakage location is accurate and so on.