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shen jing nei jing fu zhu xia chuang shang xing nao ji ye bi lou de zhi liao
Author(s): 
Pages: 742-744
Year: Issue:  4
Journal: Zhejiang Journal of Traumatic Surgery

Keyword:  脑脊液鼻漏神经内镜治疗;
Abstract: 目的 探讨神经内镜辅助下创伤性脑脊液鼻漏修补的手术方法,并就相关问题进行讨论. 方法 神经内镜下经鼻手术修补创伤性脑脊液鼻漏19例,术前根据临床表现、实验室检查、辅助以颅底CT扫描、脑池造影等获得诊断,采用自体阔筋膜片修补颅底缺损.结果 19例患者中18例术后当时均无脑脊液鼻漏,1例术后复发经保守治疗治愈.手术成功率为94.7%.所有患者均无新出现的神经功能缺失.所有病人经随访1~3年均未再次出现脑脊液漏. 结论 神经内镜下创伤性脑脊液鼻漏修补术创伤小、直观、手术成功率高,可以作为首选手术方法.
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