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目的 建立一种治疗额窦脑脊液鼻漏的新技术。方法 7例额窦脑脊液鼻漏 ,5例行经额 鼻内镜联合径路额窦脑脊液鼻漏修补术 ,其余 2例行单纯经鼻内镜脑脊液鼻漏修补术。结果 4例一次手术修补成功 ;2例接受了二次手术 ,另 1例三次手术才修补成功。平均随访 3年。尽管 7例脑脊液鼻漏最终都修补成功 ,但接受经额经鼻内镜联合径路手术的病人比单纯行经鼻内镜脑脊液鼻漏修补术的病人术后恢复快得多。结论 经额 鼻内镜联合径路是额窦脑脊液鼻漏治疗的首选手术径路。
Objective To establish a new technique for the treatment of nasal leakage of frontal sinus cerebrospinal fluid. Methods Seven cases of frontal sinus cerebrospinal fluid rhinorrhea, five cases of nasal endoscopy combined with pathological frontal sinus cerebrospinal fluid rhinorrhea repair, the remaining two cases of simple endoscopic nasal endoscopic rhinorrhea repair. Results 4 cases of a successful surgical repair; 2 patients underwent second surgery, the other three cases before surgery to repair successful. The average follow-up of 3 years. Although all seven patients with cerebrospinal fluid rhinorrhea eventually succeeded in repairing, patients who underwent transoendoscopic endoscopic surgery had a significantly faster postoperative recovery than those who underwent transnasal endoscopic cerebrospinal fluid rhinorrhea repair alone. Conclusion Naso-endoscopic approach is the first choice for surgical treatment of frontal sinus rhinorrhea.