脑脊液耳漏的临床诊治分析

刘日渊; 侯琨; 侯昭晖; 杨仕明

doi:10.13201/j.issn.1001-1781.2016.08.011

脑脊液耳漏的临床诊治分析

- 解放军总医院耳鼻咽喉头颈外科解放军耳鼻喉科研究所(北京, 100853)
基金项目:
国家"973"计划重大科学研究计划干细胞项目(No:2012CB967900)

863青年科学家项目(No:2014AA020510)

国家自然科学基金面上项目(No:81271082)

博士后科学基金面上项目(No:2013M542520)

详细信息

通讯作者: 侯昭晖,E-mail:houstone301@aliyun.com; 杨仕明,E-mail:yangsm301@263.net

中图分类号: R628

收稿日期: 2015-11-01

Analysis of the diagnosis and treatment of cerebrospinal fluid otorrhea

- Department of Otolaryngology Head and Neck Surgery, Institute of Otolaryngology, Chinese PLA General Hospital, Beijing, 100853, China

More Information

Corresponding authors: HOU Zhaohui ; YANG Shiming

Received Date: 01 November 2015

摘要

摘要: 目的：分析脑脊液耳漏或耳鼻漏的病因和临床表现，探讨其治疗策略。方法：回顾性分析37例脑脊液耳漏患者的临床表现、辅助检查结果、术中探查结果、手术修补方法及术后随访情况。结果：35例1次手术修补成功，1例内耳畸形合并脑脊液耳漏者行2次手术修补成功，1例未行手术。术后36例随访1个月~7年无脑脊液漏或脑膜炎复发。结论：手术修补是脑脊液耳漏最为直接有效的治疗方法，针对不同原因导致的脑脊液耳漏，结合术前影像学检查，采取合适的手术入路，对于暴露病变部位、寻找漏孔非常重要。
- 脑脊液耳漏 /
- 诊断 /
- 再手术
Abstract: Objective: To analyze the etiology and clinical symptoms and to investigate the therapeutic strategies of cerebrospinal fluid otorrhea.Method: A retrospective analysis of 37 cases of patients with cerebrospinal fluid otorrhea.The clinical symptoms, auxiliary examination, intraoperative findings, surgical methods and postoperative follow-up were analyzed.Result: In 37 cases, 35 patients underwent the plugging surgery once and cured, 1 patient with inner ear malformation underwent another operation and cured, 1 patient didn't have the operation. No cerebrospinal fluid leakage or meningitis recurrence was reported by the followed up from 1 months to 7 years after operation.Conclusion: Surgical repair is an effective method to treat the cerebrospinal fluid otorrhea. It is significant to take appropriate surgical approach to expose and to find the leak, according to the etiological factor and imaging examination.
- cerebrospinal fluid otorrhea /
- diagnosis /
- reoperation

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