论文部分内容阅读
目的探讨脑脊液鼻漏的诊断治疗方法。方法回顾性分析焦作市第二人民医院耳鼻喉科2000-02-2010-01收治的15例脑脊液鼻漏患者资料。结果保守治疗13例,5例痊愈,治愈率38.5%;经鼻内窥镜手术治疗10例,9例治愈,治愈率90%。结论细致的鼻内窥镜检查及高分辨率薄层CT扫描是最可靠且简便的定位诊断方法;保守治疗的理念应贯穿治疗过程的始终;鼻内窥镜下脑脊液鼻漏修补术安全、有效、创伤小,可作为脑脊液鼻漏手术治疗的首选方法。
Objective To investigate the diagnosis and treatment of cerebrospinal fluid rhinorrhea. Methods The clinical data of 15 patients with cerebrospinal rhinorrhea who were admitted to Department of Otolaryngology, Second People ’s Hospital of Jiaozuo City from February 2000 to October 2010 were retrospectively analyzed. Results of conservative treatment in 13 cases, 5 cases cured, the cure rate was 38.5%; 10 cases were treated by endoscopic sinus surgery, 9 cases were cured, the cure rate was 90%. Conclusions Detailed nasal endoscopy and high-resolution thin-section CT scan are the most reliable and convenient methods for localization diagnosis. The concept of conservative treatment should be consistent throughout the course of treatment. The rhinorrhea repair under nasal endoscopy is safe and effective , Trauma, can be used as the preferred method of cerebrospinal rhinorrhea surgery.