Sternberg管未闭的诊断和治疗
Diagnosis and Treatment of Patent Sternberg’s Canal
摘要: 目的：分析Sternberg管未闭的病因、临床特点，并指导临床诊断及治疗。方法：收集近1年本医疗组治疗Sternberg管未闭患者的临床资料，并检索国内外数据库收集相关病例进行回顾性分析。结果：2例病例均有明确Sternberg管未闭伴脑膜脑膨出的影像学特征，经过手术治疗后未见明显脑脊液漏表现。文献检索共得相关研究22篇，其中病例为51例，以自发性脑脊液鼻漏为主要症状，均有明确蝶窦骨质缺陷，手术治疗预后良好。结论：Sternberg管人群中发病率低，主要引起不明原因的脑脊液鼻漏。其临床诊断困难，但手术可治愈，预后好，复发率低。
Abstract: Objective: To analyze the etiology and clinical characteristics of patent Sternberg’s Canal, and to guide clinical diagnosis and treatment. Method: We collect clinical data of patients with patent Sternberg’s Canal treated in our medical group in recent years and retrieve relevant cases from Chinese and foreign databases for retrospective analysis. Result: Both two cases had explicit imaging features of patent Sternberg’s Canal along with meningoencephalocele. No obvious cerebrospinal fluid leakage was observed after surgical treatment. A total of 22 relevant studies were obtained through literature search, including 51 cases, with spontaneous cerebrospinal fluid rhinorrhea as the main symptom. All of them had clear sphenoid sinus bone defects and had good prognosis after taking surgical treatment. Conclusion: In epidemiology, the incidence rate in Sternberg’s Canal is low, which mainly causes cerebrospinal fluid rhinorrhea of unknown causes. It is difficult to make clinical diagnosis, but it can be cured by surgery, with good prognosis and low recurrence rate.
文章引用：顾靖宇, 沈恪诚, 孙亮, 尹子乾, 顾令文, 虞正权, 翟伟伟, 吴江. Sternberg管未闭的诊断和治疗[J]. 临床医学进展, 2025, 15(4): 3275-3284. https://doi.org/10.12677/acm.2025.1541296

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