Fishman A J, Hoffman R A, Roland J T, Lebowitz R A, Cohen N L
Department of Otolaryngology, New York University Medical Center, New York. 10016, USA.
Laryngoscope. 1996 Aug;106(8):1002-4. doi: 10.1097/00005537-199608000-00017.
A retrospective analysis was performed on 174 patients operated on from 1992 to 1995 to evaluate the safety and efficacy of continuous lumbar cerebrospinal fluid drainage (CLCFD) in the management of cerebrospinal fluid (CSF) leaks following acoustic neuroma surgery. There was a 17% incidence of CSF leak. CLCFD stopped the leak in 87% of cases. There were no cases of meningitis associated with CLCFD. One deep vein thrombosis was treated without sequelae. It is concluded that CLCFD is safe and efficacious. The authors recommend that CLCFD be implemented immediately when indicated, foregoing a trial of conservative therapy. Indications and precautions are discussed.
对1992年至1995年接受手术的174例患者进行回顾性分析，以评估持续腰椎脑脊液引流（CLCFD）在听神经瘤手术后脑脊液（CSF）漏管理中的安全性和有效性。脑脊液漏的发生率为17%。CLCFD在87%的病例中止住了漏液。没有与CLCFD相关的脑膜炎病例。1例深部静脉血栓形成得到治疗，无后遗症。结论是CLCFD安全有效。作者建议在有指征时立即实施CLCFD，无需进行保守治疗试验。文中讨论了指征和注意事项。
