文档介绍：f喝/NI烛必目录一、摘要中文论著摘要???????????????????????????1 英文论著摘要???????????????????????????2 二、英文缩略语???????????????????????????·4 三、论文前言????????????????????????????????????????“5一日Ⅱ舌????????????????????????????????????????“材料与方法????????????????????????????6 结果????????????????????????????????????????12 讨论?????????????????????????????“i??????????l 3 结论????????????????????????????????????????l 5 四、本研究创新性的自我评价?????????????????????16 五、参考文献????????????????????????????1 7 六、附录综述????????????????????????????????????????1 8 在学期间科研成绩????????????????????????29 致谢????????????????????????????????????????30 个人简介????????????????????????????·3 ·中文论著摘要· 鼻内镜下脑脊液鼻漏修补术目的探讨鼻内镜下脑脊液鼻漏修补术的方法,脑脊液鼻漏的诊断,手术适应症, 并就不同漏口部位所采用的不同修补方式及材料等手术关键问题进行讨论。方法对14例经鼻内镜下行脑脊液鼻漏修补术患者,男性9例,女性4例,年龄g 22"--" 62岁,时间[刍2005年6月至2010年3月,其中漏口位于蝶窦外侧壁2例,蝶窦顶壁1 例,筛板1例,筛顶2例,额窦后外侧壁3例,右侧筛顶及左侧额窦多发漏口1例, 鼻腔鼻窦恶性肿瘤侵犯周围骨质,手术切除肿物同时发现脑脊液漏者2例,术中未见明确漏口者2例进行分析。多士里皇口木单纯应用鼻内镜完成手术者10例,应用鼻内外联合入路者4例。修补材料为鼻甲黏膜者3例,大腿阔筋膜者2例,鼻中隔粘膜修补片及大腿肌阔筋膜者1例,肌浆者5例,大腿阔筋膜及肌浆者3例。术后补材取出部位愈合良好,随访6个月至3 年半,未见复发。全部病例无明显嗅觉减退,鼻腔功能较术前无明显变化。结论我们的结果证实,除筛窦、蝶窦漏口可应用鼻内镜修补外,漏口位于额窦者可选择鼻外额窦前壁开窗入路联合鼻内镜经额隐窝入路进行修补,修补效果确实, 无复发。不同部位的脑脊液鼻漏,采用不同的手术策略和适当的修补材料,是修补手术成功率的关键。关键词脑脊液鼻漏;鼻内窥镜。 CSFfistularepair surgery Obj ective Discussion ofendoscopic cerebrospinal fluidrhinorrhea,CSF ofdiagnosis, surgicalindications,and variousleakage mouth parts aredifferentpatch andmaterial andsurgical criticalissuesfordiscussion. Method On the 14 cases ofendoscopic downlink CSF fistularepairsurge巧patients,male, female 9 cases in 4cases,age 22~62 years old,the timesince June 2005 to2009, which is located intheestuary of theleakage ofthesphenoid sinusmedially 2 cases, sphenoid sinustop cases,plate cases,screen top 2cases,frontal maxillae 3cases, tlletop andright sideofthe screen to theleftfrontalmultiple leakage of cases,nasal bone cancer invading surrounding,surgical removal oftumors while identifying eerebrospinal fluidleakage by 2cases,with no clearleakage mouth 2 cases for analysis. plete the simple application ofend