資源描述：
《經(jīng)眉弓眶上鎖孔入路治療腦脊液鼻漏的探討.doc》由會員上傳分享，免費(fèi)在線閱讀，更多相關(guān)內(nèi)容在工程資料-天天文庫。
1、經(jīng)眉弓眶上鎖孔入路治療腦脊液鼻漏的探討［摘要］目的探討經(jīng)眉弓眶上鎖孔入路治療腦脊液鼻漏的病例選擇、手術(shù)方法及臨床價值。方法回顧性分析2012年4月?2015年3月首都醫(yī)科大學(xué)附屬北京天壇醫(yī)院收治的15例漏口位于額竇后壁的腦脊液鼻漏患者的臨床資料，15例患者均行手術(shù)修補(bǔ)痿口，其中5例經(jīng)眉弓眶上鎖孔入路，10例經(jīng)冠狀切口經(jīng)額下入路。觀察比較兩種不同入路患者的治療效果、手術(shù)時間、術(shù)中出血量及術(shù)后住院時間。結(jié)果本組15例患者均經(jīng)1次手術(shù)修補(bǔ)成功，1例眉弓入路和3例冠切入路患者術(shù)后出現(xiàn)額部麻木，患者隨訪9?48個月，平均(26.4±14.0)個月，均未復(fù)發(fā)。經(jīng)眉弓入路患
2、者的平均手術(shù)時間［(3.5±0.4)h］及術(shù)中出血量［(72.0±19.2)mL］均少于經(jīng)冠切入路患者［(5.8±1.7)h、(301.0土34.5)mL］,差異均有高度統(tǒng)計(jì)學(xué)意義(P二0.002、0.000)0經(jīng)眉弓入路患者的術(shù)后住院時間為5?8d(中位數(shù)為6d),經(jīng)冠切入路患者的術(shù)后住院時間為7?12d(中位數(shù)為8d)o結(jié)論經(jīng)眉弓眶上鎖孔入路具有損傷小、恢復(fù)快、住院時間短等優(yōu)點(diǎn)，對于治療漏口位于額竇后壁的患者具有優(yōu)勢。［關(guān)鍵詞］腦脊液鼻漏；眉弓；眶上鎖孔入路［中圖分類號］R651.1［文獻(xiàn)標(biāo)識碼］A［文章編號］1673-7210(2016)03(b)-00
3、68-05［Abstract］ObjectiveToinvestigatethepropercaseselection,microsurgerytechniqueandclinicalvalueoftrans-supraorbitalkeyholeapproachforrepairingcerebrospinalfluidrhinorrhea.MethodsClinicaldataof15patientswithcerebrospinalfluidrhinorrhearesultingfromfistulasontheposteriorwalloffronta
4、lsinusinBeijingTiantanHospitai,CapitaiMedicalUniversityfromApril2012toMarch2015wereanalyzedretrospectively.Supraorbitalkeyholeapproachwasperformedon5patients,andcoronalsubfrontalapproachwasperformedon10patients?Thetreatmentresults,operationtime,operationbloodlossandthepostoperativeh
5、ospitalstaytimeofthepatientswerecomparedstatisticallybetwenthetwodifferentapproaches.ResultsAftertheoperation,allpatientsrecoveredwellandtheywerefreeoftheCSFrhinorrhea?Onepatientthatreceivedthesupraorbitalkeyholeapproachand3patientsthatreceivedthecoronalsubfrontalapproachgotpostoper
6、ativeforeheadnumbness.NopatientsgotCSFrhinorrhearecurrenceafterafollow-upof9~48months,andthemeantimewas(26.4+14.0)months.Duringtheoperation,operationtimeofpatientsthatreceivedthesupraorbitalkeyholeapproach[(3.5+0.4)h]waslessthanpatientswhoreceivedthecoronalsubfrontalappro且ch[(5.8±1.
7、7)h],bloodlossofpatientsundergonethesupraorbitalkeyholeapproach[(72.0±19?2)mL]waslessthanpatientsreceivedcoronalsubfronLalapproach[(301.0±34.5)mL],thedifferenceswerestatisticallysignificant(P二0.002,0.000)?Thepostoperativehospitalstaytimeofpatientsthatreceivedthesupraorbitalkeyholeap
8、proachwas5~8d(media
