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目的观察鼻内镜下脑脊液鼻漏的治疗效果,探讨鼻内镜下定位和修复的方法。方法对13例脑脊液鼻漏(CFR)患者经鼻内镜行脑脊液(CSF)鼻漏修补术的诊治效果进行分析。其中医源性CFR 3例,自发性CFR 2例,外伤性CFR 8例。结果本组13例CFR患者中12例1次修复成功,术后无脑脊液鼻漏复发。随访6个月至2年未见脑脊液鼻漏远期复发、脑膜炎及鼻窦囊肿形成。结论脑脊液鼻漏经鼻内窥镜修补损伤小,成功率高,并发症少,患者恢复快,值得临床推广。
Objective To observe the effect of endoscopic rhinorrhea in the treatment of endoscopic nasal endoscopy to explore the method of localization and repair. Methods Thirteen patients with cerebrospinal fluid rhinorrhea (CFR) who underwent nasal endoscopy for cerebrospinal fluid (CSF) rhinorrhea repair were analyzed. 3 cases of iatrogenic CFR, 2 cases of spontaneous CFR, 8 cases of traumatic CFR. Results The group of 13 patients with CFR in 12 cases of a successful repair, no recurrence of cerebrospinal fluid rhinorrhea. No follow-up 6 months to 2 years long-term recurrence of cerebrospinal fluid rhinorrhea, meningitis and sinuses cyst formation. Conclusion Cerebrospinal fluid rhinorrhea endoscopic nasal endoscopic repair injury is small, high success rate, fewer complications, patients recover quickly, worthy of clinical promotion.