目的 :探讨脑脊液鼻漏的诊治方法 ,提高其诊治水平。方法 :5例患者中 ,4例行手术导航仪下鼻内镜脑脊液鼻漏修补 ,1例行冠状切口开颅前额带蒂帽状腱膜脑脊液鼻漏修补。结果 :随访半年余 ,全部治愈。结论 :脑脊液鼻漏漏口小者可于鼻内镜下修补 ,手术导航仪对尽快、准确找到漏口有重要意义 ;漏口大者仍以开颅后适宜材料修补为好。 Objective: To explore the diagnosis and treatment of cerebrospinal fluid rhinorrhea and improve the diagnosis and treatment of it. Methods: Among 5 patients, 4 patients underwent endoscopic nasal endoscopic rhinorrhea repair with a navigator, and 1 patient underwent crown incision cranial foreline pedicled aponeurosis cerebrospinal fluid rhinorrhea repair. Results: Follow-up more than six months, all cured. Conclusion: The smaller the leakage of cerebrospinal fluid rhinorrhea can be repaired in endoscopic surgery, surgical navigation as soon as possible to find the exact leak is important; leakage still large after craniotomy appropriate material repair as well.