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目的探讨经鼻内窥镜脑脊液鼻漏及脑膜脑膨出手术的有效性.方法回顾性研究13例脑脊液鼻漏及脑膜脑膨出的诊断及治疗.结果13例患者中颅底缺损位于筛顶及额隐窝5例,蝶窦4例,筛板4例.13例中脑膜脑膨出4例,其中3例有外伤史,1例为先天性.经鼻内窥镜手术后随访6～27mo,11例(84.6%)无复发.1例术后10d抽取碘纺纱条时复发,另1例碟窦非霍杰金氏淋巴瘤术后3mo化疗时复发.无手术并发症.结论经鼻内窥镜手术直视下切除脑膜膨出组织,修补漏口,避免开颅,是治疗脑脊液鼻漏及鼻内脑膜脑膨出的理想手术方法
Objective To investigate the effectiveness of nasal endoscopy for cerebrospinal fluid rhinorrhea and meningeal encephalocele.Methods The diagnosis and treatment of 13 cases of cerebrospinal fluid rhinorrhea and meningocele were retrospectively reviewed.Results The skull base defect in 13 cases was located at the top of the sieve And frontal recess in 5 cases, 4 cases of sphenoid sinus, 4 cases of sieve plate, 13 cases of meningoencephalocele in 4 cases, of which 3 cases had a history of trauma and 1 case of congenital .After endoscopic sinus surgery followed up 6 ~ There was no recurrence in 11 cases (84.6%) during the follow-up period of 27 months, and one case relapsed on the 10th day after the operation of iodine-spun sliver. Another case of non-Hodgkin’s lymphoma of the salamander recurred after 3 months of chemotherapy. Nasal endoscopic surgery under direct vision resection of meningoencephalic tissue, repair leak, to avoid craniotomy, is the treatment of cerebrospinal fluid rhinorrhea and intranasal meningoencephalitis an ideal surgical method