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目的探讨经额冠状切口硬脑膜外入路修补脑脊液鼻漏的临床疗效。方法对20例经额手术修补迁延不愈、延迟性脑脊液鼻漏患者资料进行回顾性分析,包括术前病情、术前检查、手术方法、术后疗效及随访情况。结果本组20例患者,术后1例仍有轻微鼻漏,但经持续腰大池引流后治愈;其余病例均在术后痊愈;所有患者随访1个月~2年均无再漏。结论根据术前影像学对漏口的准确定位,经额冠状切口硬脑膜外入路,对迁延不愈、延迟性脑脊液鼻漏患者的治疗是安全、可靠的方法。
Objective To investigate the clinical effect of corneal incision in the treatment of cerebrospinal fluid rhinorrhea through coronaries incision. Methods The data of 20 patients who undergone delayed surgery and delayed rhinorrhea were analyzed retrospectively, including the preoperative condition, preoperative examination, operation method, postoperative efficacy and follow-up. Results The group of 20 patients, one patient still had slight rhinorrhea after operation, but was cured after continuous lumbar drainage. The remaining cases were cured after operation. All patients were followed up for 1 month to 2 years without any leakage. Conclusion According to the preoperative imaging accurate positioning of the leak, the amount of corneal incision through the coronaries approach, the delay unhealed, delayed treatment of patients with cerebrospinal rhinitis is a safe and reliable method.