摘要
目的探讨迁延性脑脊液鼻漏伴颅内感染的诊断和治疗方法。方法2008年2月～2010年1月收治迁延性脑脊液鼻漏伴颅内感染患者6例，高分辨率CT和CT脑池造影检查明确漏口位置，采用经蝶手术修补漏口，持续腰大池引流并鞘内注射头孢曲松钠＋万古霉素治疗。结果6例患者均治愈，随访6个月，无脑脊液鼻漏或颅内感染复发。结论采用高分辨率CT和CT脑池造影检查明确漏121位置，经蝶手术修补漏121，持续腰大池引流并鞘内注射头孢曲松钠＋万古霉素是治疗迁延性脑脊液鼻漏伴颅内感染的有效方法。
Objective To explore the effective therapeutic and diagnostic method of procrastinated cerebrospinal fluid rhinorrhea eomplocated by intracranial infection. Methods The clinical data of 6 patients with cerebrospinal fluid rhinorrhea complicated by intraeranial infection, in whom high resolving power CT and CT cisternogrophy were performed, the leakage mouths repaired by transsphenoidal surgery, the continuous lumbar eisterna drainage and intrathecal injection of rocephin and vancomycin were performed between February 2008 and January 2010, were analyzed retrospectively. Results All the patients were cured. The following-up for 6 months showed that the cerebrospinal fluid rhinorrhea and intraeranial infection did not recur in all the patients. Conclusion The mouths of cerebrospinasl rhinorrhea may be exactly localized by high resolving power CT and CT cisternogrophy. Transsphenoidal surgery, continuous lumbar cisterna drainage and intrathecal injection of rocephin and vaneomycin is effective methods to treat procrastinated cerebrospinal fluid rhinorrhea complicated by intracranial infection.
出处
《中国临床神经外科杂志》
2014年第4期215-216,219,共3页
Chinese Journal of Clinical Neurosurgery
关键词
脑脊液鼻漏
颅内感染
诊断
治疗
Cerebrospinal fluid rhinorrhea
Intracranial infection
Diagnosis
Treatment
