摘要
目的:探讨鼻腔结构异常在非炎症性鼻源性头痛中的作用,并评价鼻内镜手术的效果。方法:对68例排除其他疾病并且长期保守治疗无效而诊断为非炎症性鼻源性头痛行鼻内镜手术的患者进行回顾性分析。结果:经鼻窦CT和鼻内镜检查发现鼻中隔偏曲46例(67.6%),泡状中鼻甲20例(29.4%),筛泡/钩突肥大10例(14.7%),中鼻甲反张8例(11.8%)。手术治疗有效56例(82.4%),无效12例(17.6%)。结论:根据明确异常解剖部位,行个体化的鼻内镜手术治疗非炎症性鼻源性头痛效果显著。
Objective：To investigate the role of anatomical abnormalities in non-sinusitis-related rhinogenous headache and to evaluate effects of nasal endoscopic surgery for non-sinusitis-related rhinogenous headache.Method：Sixty-eight patients diagnosed as non-sinusitis-related rhinogenous headache were selected in this study.They were treated with nasal endoscopic surgery after failed long-term medical treatment.Data from this group were analyzed retrospectively.Result：Multiple anatomical abnormalities were noted by endoscopy and sinus computed tomographic scans in the 66 patients.These included nasal septum deviation in 46 cases（67.6%）,middle turbinate gasfication in 20 cases（29.4%）,protruding ethmoid bulla or uncinate processor in 10 cases（14.7%）and abnormal middle turbinate in 8 case（11.8%）.Fifty-six（82.4%）patients showed significant improvement after surgery.Conclusion：Non-sinusitis-related rhinogenous headache can be significantly minimized with individual nasal endoscopic surgery,as long as a precise identification of the etiologic anatomical factor can be made.
出处
《临床耳鼻咽喉头颈外科杂志》
CAS
北大核心
2016年第3期206-208,共3页
Journal of Clinical Otorhinolaryngology Head And Neck Surgery
关键词
头痛
鼻中隔偏曲
内镜外科手术
headache
nasal septum deviation
endoscopic surgical procedures
