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目的:探讨脑脊液鼻漏的诊断和治疗。方法:对15例脑脊液鼻漏患者临床治疗资料作回顾性分析。结果:随访3个月~5年,15例患者全部治愈。其中行保守治疗4例,鼻外入路修补7例,鼻内镜修补4例。结论:经鼻内镜修补脑脊液鼻漏操作简单、创伤小、定位准确、术后患者恢复快。但对某些病例,联合鼻外进路可弥补内镜下操作困难和不足,有助于提高1次修补成功率。
Objective: To investigate the diagnosis and treatment of cerebrospinal fluid rhinorrhea. Methods: The clinical data of 15 patients with cerebrospinal rhinorrhea were retrospectively analyzed. Results: All the 15 patients were cured after 3 months to 5 years of follow-up. Which line conservative treatment in 4 cases, 7 cases of nasal repair, endoscopic repair 4 cases. Conclusion: Endoscopic nasal endoscopic repair of cerebrospinal fluid rhinorrhea is simple, less traumatic, accurate positioning, postoperative patients recover quickly. However, in some cases, the combination of nasal approach can make up for the difficulties and shortcomings of endoscopic operation, which will help to improve the success rate of primary repair.