蝶窦自发性脑脊液鼻漏改良修补术

【摘要】 目的:探讨蝶窦自发性脑脊液鼻漏的发病机制,临床及影象学的诊断与鉴别。方法:对8例蝶窦自发性脑脊液鼻漏的鼻窦CT,生化检查结果及病例资料进行分析。结果:8例自发性脑脊液鼻漏患者明确诊断及部位,均在鼻内镜直视下经蝶窦成功修补。结论:蝶窦自发性脑脊液鼻漏多认为与颅底缺损有关,颅压波动,久之硬脑膜变薄,最后破裂形成漏孔。结合CT,物理诊断,化验检查及内窥镜检查均可明确诊断,内镜下可为首选方法。更多还原

【Abstract】 Objective:To evaluate the pathogenecis of cerebrospinal rhinorrhea,the diognoric and discriminate in clinical and iconography.Methods:To aralyse 8 patients paranasal sinus CT,laryngofiberscope results of bioche mistry with largngo fiber scope.Conclusicns:It is said that autonomy cerebrospinal rhinorrhea is connected with lacking base of skull.If the pressure incranium waved too long,the meninges will to be thin and break to make a hole.With CT,physical,diagnose,assaytest and laryngo fiberscope,it can be cleally.更多还原