Zukiel R, Nowak S, Liebert W, Jankowski R, Dobrzycki Z
Katedry i Kliniki Neurochirurgii Akademii Medycznej im. Karola Marcinkowskiego, Poznaniu.
Neurol Neurochir Pol. 1998 Jan-Feb;32(1):91-102.
47 patients was treated surgically for posttraumatic cerebrospinal fluid rhinorrhea between 1977 and 1996 in the Department of Neurosurgery in Poznań. Cerebrospinal fluid fistula developed after road accident, less often because of assault, fall etc. Frontobasal fracture usually caused rhinorrhea and was verified by plain X-rays, computed tomography and magnetic resonance. Indications to early surgery were rhinorrhea coexisting with intracranial haematoma or pneumocephalus, optic nerve lesion, the persistent or recurrent rhinorrhea and meningitis. The authors present surgical methods and postoperative complications. Good outcome was in 86%.
1977年至1996年间，波兹南神经外科对47例创伤后脑脊液鼻漏患者进行了手术治疗。脑脊液瘘多由道路交通事故后引发，因袭击、摔倒等原因引发的情况较少。额底骨折通常会导致鼻漏，通过普通X光、计算机断层扫描和磁共振成像得以确诊。早期手术的指征包括伴有颅内血肿或气颅的鼻漏、视神经损伤、持续性或复发性鼻漏以及脑膜炎。作者介绍了手术方法及术后并发症。86%的患者预后良好。
