CAJ | 학술논문

目的总结开颅手术治疗脑脊液鼻漏的诊治经验.方法回顾性分析北京天坛医院2009年11月至2010年10月33例开颅手术治疗脑脊液鼻漏的临床资料,术前均采用CT脑池造影进行定位,28例采取冠切开颅,单侧8例,双侧20例,3例采取经眉弓入路,2例采取额颞断颧弓入路.结果 33例脑脊液鼻漏患者行开颅手术治疗,32例修补成功,1例手术修补失败,手术治愈率达97％.结论对于保守治疗失败,缺损在额窦后壁,缺损面积较大及多发或严重颅底骨折,已经失嗅或合并颅内病变者,采用开颅手术修补是一种安全有效的治疗方法.
목적 총결개로수술치료뇌척액비루적진치경험.방법 회고성분석북경천단의원2009년11월지2010년10월33례개로수술치료뇌척액비루적림상자료,술전균채용CT뇌지조영진행정위,28례채취관절개로,단측8례,쌍측20례,3례채취경미궁입로,2례채취액섭단권궁입로.결과 33례뇌척액비루환자행개로수술치료,32례수보성공,1례수술수보실패,수술치유솔체97％.결론 대우보수치료실패,결손재액두후벽,결손면적교대급다발혹엄중로저골절,이경실후혹합병로내병변자,채용개로수술수보시일충안전유효적치료방법.
Objective To conclude the experience of cerebrospinal fluid rhinorrhea repaire by transcranial approach.Methods We evaluated the clinical outcomes of 33 consecutive cases of CSF rhinorrhea treated through transcranial approach from Nov.2009 to Oct.2010,all patients were examed by CT cisternography before operation.28 patients underwent coronal craniectomy; 8 patients underwent unilateral craniectomy; 20patients underwent bifrontal craniectomy; 3 patients underwenttransobital approach; 2 patients underwenffrontotemporal zygoma approach.Results CSF rhinorrhea was resolved after initial surgery in 32 of 33 patients,indicating the success rate is 97％.1 operation was failure.Conclusions Regarding cerebrospinal fluid rhinorrhea surgical therapy,transcranial approach is a reliable and effective method for those who failby conservative treatment and have serious skull base fracture,lost smell,or merge the intracranial lesions and whose defects are on the back wall of frontal sinus or defect area is larger and multiple.