外傷性腦脊液漏143例臨床分析
中國(guó)中西醫(yī)結(jié)合耳鼻咽喉科雜志
頁(yè)數(shù): 2 2012-04-30
摘要: 目的探討外傷性腦脊液漏的臨床診斷、治療及預(yù)后。方法外傷性腦脊液漏病人143例,保守治療137例,手術(shù)治療6例。結(jié)果經(jīng)保守或手術(shù)治療,所有患者均愈合,隨訪未見(jiàn)復(fù)發(fā)。結(jié)論外傷性腦脊液漏絕大多數(shù)經(jīng)保守治療即可治愈,保守治療觀察時(shí)間一般為1~2個(gè)月,無(wú)效再行手術(shù)治療,妥善重建顱底,可以有效防止腦脊液漏的復(fù)發(fā)。 Objective To explore the clinical diagnosis,treatment and prognosis of traumatic cerebrospinal fluid leakage.Method 143 patients with traumatic cerebrospinal fluid leakage were treated,including 137 cases of conservative treatment and 6 cases of surgical treatment.Results After conservative or surgical treatment,all the patients were healed without recurrence.Conclusion As for traumatic cerebrospinal fluid leakage,most of the patients can be cured by conservative treatment with 1 to 2 months of the observation duration.If the conservative treatment is invalid,then try surgical treatment.Proper reconstruction of the skull base can effectively prevent the recurrence of cerebrospinal fluid leakage