KHẢO SÁT KẾT QUẢ ĐIỀU TRỊ RÒ DỊCH NÃO TỦY QUA MŨI TẠI BỆNH VIỆN CHỢ RẪY TỪ NĂM 2017 ĐẾN NĂM 2022

Abstract

Background: Cerebrospinal fluid (CSF) rhinorrhoea can be caused by many etiologies, such as accidental skull-base trauma, endoscopic sinus surgery, nerosurgical procedures of skull-base or have a spontaneous etiology. If untreated, this condition can lead to many dangerous intracranial complications. Management strategies employed for cases of CFS rhinorrhea vary widely, depend on etiologies, characteristics of fistula and other injuries, including conservative treatment, lumbar drainage and surgery. Objective: To investigate management strategies and success rate of the treatment of CSF rhinorrhea. Methods: Research methodology is retrospective study and description with selected case by case. This study was carried out at Cho Ray Hospital from 2021 to 2022. Eighty-four patients diagnosed with cerebrospinal fluid rhinorrhoea from 2017 to 2022 were included in this study. Results: Through 84 cases, 20 cases were treated successfully with conservative treatment,15 cases were treated successfully with combination of conservative treatment and lumbar drainage and 49 cases were treated successfully with surgery, among that there were 43 cases of open aproach and 6 cases of endonasal approach. The success rate of conservative treatment, combination of conservative treatment and lumbar drainage, and surgery was 23,8%, 68,2% và 100% respectively. Conclusions: The success rate of management strategies of CFS rhinorrhea vary widely. The treatment aproach depends on clinical and paraclinical characteristics of patients.