CAJ | 학술논문

目的探讨核素脑池动态显像在脑脊液鼻漏诊断和治疗中的临床意义。方法回顾性分析了15例脑脊鼻漏的临床资料，尤其是核素脑池动态扫描的结果。结果15例病人中14例核素脑池动态扫描有核素异常分布，且鼻漏出液放射性测定有核素显影，1例核素分布正常。14例核素分布异常病人，13例手术证实漏口与核素扫描结果一致，1例保守治疗成功。1例核素分布正常者，诊断假性脑脊液鼻漏，药物治疗而愈。结论核素脑池动态显像作为一种简单创伤小的检查手段，对确定有无脑脊液鼻漏和确定具体漏口部位有重要作用。
목적탐토핵소뇌지동태현상재뇌척액비루진단화치료중적림상의의。방법회고성분석료15례뇌척비루적림상자료，우기시핵소뇌지동태소묘적결과。결과15례병인중14례핵소뇌지동태소묘유핵소이상분포，차비루출액방사성측정유핵소현영，1례핵소분포정상。14례핵소분포이상병인，13례수술증실루구여핵소소묘결과일치，1례보수치료성공。1례핵소분포정상자，진단가성뇌척액비루，약물치료이유。결론핵소뇌지동태현상작위일충간단창상소적검사수단，대학정유무뇌척액비루화학정구체루구부위유중요작용。
Objective To evaluate the clinical significance of radionuclide dynamic cisternography for diagnosing and treating cerebrospinal fluid rhinorrhea. Methods The clinical data of 15 patients with cerebrospinal rhinorrhea, especially the results of radionudide dynamic eisternography were retrospectively analysed. Results Of 15 patients, radionuclide dynamic cistemography in 14 showed abnormal distribution of the radionuclide while the other one showed normal distribution. Of 14 patients with abnormal distribution,13 received repairing operation, proving that leakage was consistent with the results of radionuclide cisternography. One case was succeasfully cured by conservative treatment. One patient with normal distribution of radionuclide was diagnosed as pseudocerebrospinal fluid rhinorrhea, who recovered after taking drug. Conclusion Radionuclide dynamic cisternography plays an important role in assessing whether there is cerebrospinal rhinorrhea and determining the concrete situation of leakage.