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目的探讨后颅窝肿瘤手术后并发切口脑脊液漏的防治。方法对26例后颅窝肿瘤手术后并发脑脊液漏的患者进行保守或手术治疗。结果26例患者均治愈,其中21例经保守治疗治愈,5例经手术治愈;脑脊液漏愈合时间平均为8d。结论后颅窝肿瘤手术后出现的切口脑脊液漏,大多数可经保守治疗愈合,如无效需行手术修补。
Objective To investigate the prevention and treatment of cerebrospinal fluid leakage after posterior fossa tumor surgery. Methods Twenty-six patients with posterior fossa tumors who had cerebrospinal fluid leakage after surgery were treated conservatively or surgically. Results Twenty-six patients were cured. Among them, 21 were cured by conservative treatment and 5 were cured by operation. The average time for healing of cerebrospinal fluid leakage was 8 days. Conclusions Incisional cerebrospinal fluid leakage after posterior fossa tumor surgery can be healed by conservative treatment. Surgical repair should be performed if it is ineffective.