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1991年,我们应用额肌瓣鼻内修补脑脊液鼻漏1例,效果满意。介绍如下。 患者,男,44岁。因右鼻流清水月余于1991年9月28日入院。患者2月前从1.5m高处跌下,右肩着地,当时神志清楚,自行起立,无不适感,20多天后右鼻流清水,低头和屏气时加重,无头痛和其他鼻部症状。鼻漏液实验室检查:糖(十),半定量法>400～500mg/dL。前鼻镜检查:除右鼻腔有清水样分泌物外无异常发现。CT示蝶窦及右侧后组筛窦密度增高,右侧蝶窦骨质小部分缺损。10月14日作腰椎穿刺,向椎骨内注入20ml生理盐水后,脑脊液鼻漏显著增加;然后再缓慢注入5％萤光素钠0.5ml加生理盐水10ml,2小时后见右鼻腔顶后部棉片着色。
In 1991, we applied the amount of flap intranasal repair of cerebrospinal fluid rhinorrhea in 1 case, the effect is satisfactory. Introduced as follows. Patient, male, 44 years old. Due to the right nasal flow of water on more than September 28, 1991 admission. Patient fell from 1.5m two months ago, the right shoulder to the ground, then conscious, self-standing, without discomfort, more than 20 days after the right nasal flow of water, bow and breathless aggravation, no headache and other nasal symptoms. Nose leakage laboratory tests: sugar (ten), semi-quantitative method> 400 ~ 500mg / dL. Before the nose examination: In addition to right nasal clear water secretions without exception found. CT showed sphenoid sinus and right posterior group ethmoid density increased, a small part of the right sphenoid bone defects. October 14 for lumbar puncture, injected into the vertebra 20ml saline, cerebrospinal fluid rhinorrhea significantly increased; and then slowly injected 5% sodium luciferin 0.5ml plus saline 10ml, 2 hours after the see the right nasal top and rear cotton Coloring.