PDF(Pubmed)
Abstract：
Cerebrospinal fluid (CSF) rhinorrhea is one of the most common complications after trans-sphenoidal surgery. At present, transcranial or endoscopic surgery for CSF leakage requires general anesthesia to remove autologous fat or fascia to repair the leak, which is traumatic and costly. The authors present a case of a 25-year-old male patient with pituitary adenoma who experienced CSF rhinorrhea 10 days after undergoing endoscopic resection of the tumor. The authors innovatively sequential filled the leak with a gelatin sponge soaked in povidone-iodine solution and iodinated gauze under outpatient nasal endoscopy. The follow-up of 6 months showed no recurrence of CSF leakage. CSF leakage is the most common complication of trans-sphenoidal surgery. The authors suggest that for small cerebrospinal fluid leaks in the early stage after trans-sphenoidal surgery, the leakage should be first filled with gelatin sponge and iodoform gauze sequentially under outpatient nasal endoscopy, which may achieve a complete cure.
摘要：
脑脊液鼻漏是经蝶入路手术后最常见的并发症之一。目前,脑脊液漏的经颅或内窥镜手术需要全身麻醉以去除自体脂肪或筋膜来修复渗漏，这是创伤和昂贵的。作者介绍了一例25岁的男性垂体腺瘤患者，该患者在接受内窥镜切除肿瘤10天后出现CSF鼻漏。在门诊鼻内镜下，作者创新性地用浸泡在聚维酮碘溶液中的明胶海绵和碘化纱布依次填充了泄漏。随访6个月,脑脊液漏无复发。脑脊液漏是经蝶入路手术最常见的并发症。作者认为，对于经蝶入路手术后早期的小脑脊液漏，应首先在门诊鼻内镜下依次用明胶海绵和碘仿纱布填充渗漏，可以实现完全治愈。
