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目的 总结脑脊液鼻漏的诊治经验。 方法 回顾分析 1995年～ 1999年 82例脑脊液鼻漏的临床资料 ,男 6 1例 ,女 2 1例。年龄 2岁～ 82岁。颅脑外伤性脑脊液鼻漏 4 3例 ;医源性 (鞍区术后 )脑脊液鼻漏 18例 ;自发性脑脊液鼻漏 2 1例。 结果 36例手术修补 ,脑脊液总封闭率 86 11% ,其中耳鼻喉科修补 ,成功率 92 % (2 3/ 2 5例 ) ,神经科开颅修补 11例 ,成功率 72 7% (8/ 11例 )。 结论 脑脊液鼻漏颅外进路修补疗效良好 ,特别是经鼻内窥镜修补。
Objective To summarize the diagnosis and treatment of cerebrospinal fluid rhinorrhea. Methods The clinical data of 82 cases of cerebrospinal fluid rhinorrhea from 1995 to 1999 were retrospectively analyzed. There were 6 males and 21 females. Age 2 years old to 82 years old. 43 cases of craniocerebral traumatic cerebrospinal fluid rhinorrhea; 18 cases of iatrogenic (saddle area) cerebrospinal fluid rhinorrhea; 21 cases of spontaneous cerebrospinal fluid rhinorrhea. Results Totally 36 cases were surgically repaired. The total occlusion rate of cerebrospinal fluid was 86.11%. The success rate was 92% (23/25 cases) in otorhinolaryngology and 11 cases in neurological craniotomy. The success rate was 72.7% (8/11) example). Conclusion Cerebrospinal fluid rhinorrhea extracranial approach repair well, especially by endoscopic nasal repair.