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目的 :观察经鼻内窥镜修补脑脊液鼻漏的疗效。方法 :按Messerklinger手术进路 ,切除患侧钩突、筛泡 ,开放全筛窦 ,完整暴露前颅底。借助 0 、30 内窥镜和吸引器找到瘘孔位置 ,将其修补。结果 :10例患者均经 1次修补成功 ,随访 4个月～ 1年无复发 ,未出现任何并发症。结论 :经鼻内窥镜修补脑脊液鼻漏 ,简单易行 ,定位准确 ,创伤小 ,患者恢复快 ,值得推广
Objective: To observe the efficacy of nasal endoscopic repair of cerebrospinal fluid rhinorrhea. Methods: Messerklinger surgical approach, removal of ipsilateral uncinate process, sieve, open full ethmoid sinus, complete exposure of the anterior skull base. Find the fistula hole with 0, 30 endoscope and aspirator to patch it. Results: All the 10 patients were successfully repaired by one time. No recurrence occurred after 4 months to 1 year follow-up. No complications occurred. Conclusion: Nasal endoscopic repair of cerebrospinal fluid rhinorrhea, simple, accurate positioning, small trauma, patients recover quickly, it is worth promoting