作者报告8例脑脊液(CSF)鼻漏,年龄39～77岁,男5例,女3例。7例行蝶筛窦切除术和窦造口术,6例并行鼻息肉摘除术。4例为术中发现,4例为术后发生(1日～2年)。4例CSF漏位于后组筛窦/颅底,1例在蝶窦,2例位于筛隐窝,1例位于筛板,全部发生于右侧。均为全麻手术。6例经内窥镜下修复治愈,2例保守治疗,其中1例治愈。5例筛窦/颅底瘘用耳后筋膜和肌肉封闭,1例蝶窦瘘用纤维蛋白胶封闭,2例行腰穿引流减压。患者均未发生脑膜炎。修补方法:于耳后发际后 The authors report 8 cases of cerebrospinal fluid (CSF) rhinorrhea, aged 39 to 77 years, 5 males and 3 females. 7 cases of butterfly ethmoidectomy and sinusostomy, 6 cases of concurrent nasal polyps removal. 4 cases were found during operation, 4 cases occurred after operation (1 day to 2 years). Four cases of CSF leak located in the posterior group ethmoid sinus / skull base, one in the sphenoid sinus, two in the sieve recess, one in the sieve plate, all in the right side. All general anesthesia surgery. 6 cases were cured by endoscopic repair, 2 cases were conservative treatment, of which 1 case was cured. 5 cases of ethmoid sinus / skull fistula with the ear fascia and muscle closed, 1 case of sphenoid sinus fistula closed with fibrin glue, 2 cases of lumbar puncture drainage decompression. None of the patients had meningitis. Mending method: after the hair on the back of the ear