鼻腔黏膜接触点性头痛40例临床分析  

Clinical analysis of 40 cases of mucosa contact point headache

作　　者：薛刚[1] 陈杰[1] 刘亚超[1] 尚小领[1] 林彦涛[1] 徐国刚[1] 

机构地区：[1]河北北方学院附属第一医院耳鼻咽喉头颈外科,张家口075000

出　　处：《陕西医学杂志》2009年第10期1352-1353,共2页Shaanxi Medical Journal

摘　　要：目的:探讨鼻内镜技术在鼻腔黏膜接触点性头痛诊断和治疗中的价值。方法:采用4mm0°和30°鼻内镜,去除鼻腔、鼻窦内病变组织,矫正解剖变异,使鼻中隔居中,维持中鼻甲、下鼻甲的形态。结果:术后随访6～24个月。痊愈15例(37.5%),好转19例(47.50%),无效6例(15%)。中鼻甲与鼻腔外侧壁粘连3例,下鼻甲与鼻中隔粘连2例。结论:黏膜接触点性头痛多由鼻腔、鼻窦的解剖异常引起,鼻内镜技术诊断和治疗黏膜接触点性头痛效果良好。Objective ：To study the value of endoscopic technique in diagnosing and treating mucosa contact point headache. Methods：40 patients were diagnosed and treated with endoscopic technique （0°or 30°4 mm endospie ）, cleared the ill tissue in nasal cavity and sinus, remendied anatomic abnormality and reconstructed nasal septal. Results ：Followed up survey 6 24 months postaperatively. 15 cases were cured（37. 5%）, 19 cases were relieved to an extent（47.5%）, and 6 cases did not benefit. A significant decrease in the severity and frequency of headaches is noted after endospic sinus surgery. Conclusion：Mucosa contact point headache is caused by anatomic abnormality . Endoscopic technique is good and successful in diagnosing and treating mueosa contact point headache. Endospic sinus surgery can clear the ill tissue and has an important clinical value.

关 键 词：头痛/诊断 头痛/治疗 内窥镜检查 @黏膜接触点性头痛 

分 类 号：R987[医药卫生—药品] R741.041[医药卫生—药学]