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目的探讨经鼻内镜治疗脑脊液鼻漏的效果及预后。方法在鼻内镜视频系统下,检查鼻腔、鼻道渗漏部位,取筋膜及黏骨膜将其修补,术后止血填塞1,0 d取出,随访6个月至3年。结果 60例患者中保守治疗45例治愈,余15例鼻内镜下修补术,其中二次手术鼻内镜下修补治愈1例,术后3年无复发,治愈率100%。结论鼻内镜下治疗脑脊液鼻漏具有创伤小、安全、恢复快、成功率高的显著特点,且复发率低,是目前治疗脑脊液鼻漏的理想选择。
Objective To investigate the effect and prognosis of nasal endoscopic treatment of cerebrospinal fluid rhinorrhea. Methods Under nasal endoscopic video system, nasal and nasal leakage sites were examined. The fascia and mucoperiosteum were repaired. The hemostatic stuffings were removed for 1, 2 days and followed up for 6 months to 3 years. Results Of the 60 patients, 45 cases were cured by conservative treatment and 15 cases were treated by endoscopic sinus surgery. Among them, 1 case was cured by secondary endoscopic surgery and no recurrence after 3 years. The cure rate was 100%. Conclusion Nasal endoscopic treatment of cerebrospinal fluid rhinorrhea with trauma, safety, rapid recovery, high success rate of the remarkable features, and the low recurrence rate is the treatment of cerebrospinal fluid rhinorrhea ideal.