中华神经外科杂志
中華神經外科雜誌
중화신경외과잡지
Chinese Journal of Neurosurgery
2011年
8期
832-834
,共3页
赵恒%杜郭佳%汪永新%朱国华%王丙乾%王鑫%张慧端%范雁东%党木仁
趙恆%杜郭佳%汪永新%硃國華%王丙乾%王鑫%張慧耑%範雁東%黨木仁
조항%두곽가%왕영신%주국화%왕병건%왕흠%장혜단%범안동%당목인
脑脊液鼻漏%自发性%神经内镜%治疗
腦脊液鼻漏%自髮性%神經內鏡%治療
뇌척액비루%자발성%신경내경%치료
Serebrospinal fluid rhinorrhea,spontaneous%Endoscope%Treatment
目的 探讨神经内镜下治疗自发性脑脊液鼻漏的疗效.方法 回顾性分析8例经神经内镜修补的自发性脑脊液鼻漏的临床资料,鼻漏持续时间14 d-20年,伴有脑积水者1例.所有患者均采用神经内镜下修补手术,伴有脑积水者行脑室-腹腔分流术,术后给予降颅压治疗.结果 所有患者均一次治愈,其中7例术后配合腰椎穿刺、腰大池引流,另1例伴有脑积水患者行脑室-腹腔分流术.术后随访6-42个月均无复发.结论 神经内镜下脑脊液鼻漏修补术是治疗自发性脑脊液鼻漏的有效方法,配合腰椎穿刺、腰大池引流或脑室-腹腔分流有助于手术的成功.
目的 探討神經內鏡下治療自髮性腦脊液鼻漏的療效.方法 迴顧性分析8例經神經內鏡脩補的自髮性腦脊液鼻漏的臨床資料,鼻漏持續時間14 d-20年,伴有腦積水者1例.所有患者均採用神經內鏡下脩補手術,伴有腦積水者行腦室-腹腔分流術,術後給予降顱壓治療.結果 所有患者均一次治愈,其中7例術後配閤腰椎穿刺、腰大池引流,另1例伴有腦積水患者行腦室-腹腔分流術.術後隨訪6-42箇月均無複髮.結論 神經內鏡下腦脊液鼻漏脩補術是治療自髮性腦脊液鼻漏的有效方法,配閤腰椎穿刺、腰大池引流或腦室-腹腔分流有助于手術的成功.
목적 탐토신경내경하치료자발성뇌척액비루적료효.방법 회고성분석8례경신경내경수보적자발성뇌척액비루적림상자료,비루지속시간14 d-20년,반유뇌적수자1례.소유환자균채용신경내경하수보수술,반유뇌적수자행뇌실-복강분류술,술후급여강로압치료.결과 소유환자균일차치유,기중7례술후배합요추천자、요대지인류,령1례반유뇌적수환자행뇌실-복강분류술.술후수방6-42개월균무복발.결론 신경내경하뇌척액비루수보술시치료자발성뇌척액비루적유효방법,배합요추천자、요대지인류혹뇌실-복강분류유조우수술적성공.
Objective To investigate the treatment of spontaneous cerebrospinal fluid rhinorrhea under endoscope.Methods Clinical data of 8 cases of spontaneous cerebrospinal rhinorrhea.The time ranged from 14 days to 20 years.The cerebrospinal fluid rhinorrhea was accompanied by hydrocephalus in 1 patient.All patients were treated under endoscope, and the patient with hydrocephalus was taked ventriculo -peritoneal( V -P) shunt exploration, the treatment of lowering intracranial pressure were performed in all the patients.Results We performed endoscopic repair in all 8 patients, combined with lumbar puncture and lumbar cisterna drainage in 7 cases, and ventriculo - peritoneal( V - P) shunt in 1 case with hydrocephalus.A follow - up of 6 to 42 months was performed, and no case recurred.Conclusion Combined with lumbar puncture, lumbar cisterna drainage or V - P shunt, Endoscopic repair of spontaneous cerebrospinal fluid rhinorrhea can be an effective method.
