用甲泛葡胺计算机断层扫描评估脑脊液鼻漏。

Evaluation of CSF rhinorrhea by computerized tomography with metrizamide.

作者信息

Chow J M, Goodman D, Mafee M F

机构信息

Department of Otolaryngology-Head and Neck Surgery, University of Illinois College of Medicine.

出版信息

Otolaryngol Head Neck Surg. 1989 Feb;100(2):99-105. doi: 10.1177/019459988910000204.

DOI:10.1177/019459988910000204

PMID:2495517

Abstract

This study evaluates the ability of metrizamide computerized tomographic cisternography (MCTC) to delineate the site of leakage in patients with cerebrospinal fluid (CSF) rhinorrhea. From 1981 to 1986, thirteen patients were examined by MCTC to localize the site of CSF leakage. A total of 17 studies were performed. Thirteen scans (76%) identified the site of CSF leakage. Nine of these scans were confirmed surgically. The other four scans were performed on patients who refused surgery. Of the 15 scans in patients with active CSF leaks, 13 (87%) were positive. Of the two patients with inactive CSF leaks, neither was positive. One patient is presented in whom MCTC was both diagnostic and therapeutic. In conclusion, MCTC has a high success rate in localizing the site of active CSF leaks.

摘要

本研究评估了甲泛葡胺计算机断层脑池造影（MCTC）在确定脑脊液鼻漏患者漏液部位方面的能力。1981年至1986年期间，对13例患者进行了MCTC检查以定位脑脊液漏的部位。共进行了17次检查。13次扫描（76%）确定了脑脊液漏的部位。其中9次扫描经手术证实。另外4次扫描是针对拒绝手术的患者进行的。在15例有活动性脑脊液漏的患者中，13次扫描（87%）呈阳性。在2例无活动性脑脊液漏的患者中，均为阴性。现介绍1例MCTC兼具诊断和治疗作用的患者。总之，MCTC在定位活动性脑脊液漏的部位方面成功率很高。