无鼻窦炎的鼻源性头痛及其鼻内镜手术治疗效果观察  

Non-sinusitis-related rhinogenous headache and the outcome of the nasal endoscopic surgery on this disease

作　　者：刘火旺[1] 贺广湘[1] 陈玉[1] 孙虹[1] 

机构地区：[1]中南大学湘雅三医院耳鼻咽喉头颈外科,湖南长沙410013

出　　处：《中国内镜杂志》2011年第1期71-73,共3页China Journal of Endoscopy

基　　金：湖南省自然科学基金(OJJ50030)

摘　　要：目的探讨无鼻窦炎的鼻源性头痛的诊断和鼻内镜手术治疗效果。方法无鼻窦炎的鼻源性头痛患者80例。根据鼻内镜和鼻窦CT检查,确定解剖异常的部位,进行相应的鼻内镜手术。结果所有患者均表现为鼻、额部反复发作性疼痛,且均存在着鼻腔解剖结构异常。66例头痛症状完全消失(82.5%);14例头痛症状基本消失或明显缓解(17.5%);总有效率100%。结论 CT结合鼻内镜技术可提高无鼻窦炎患者鼻源性头痛诊断水平,通过鼻内镜微创手术,针对不同病因进行相应的处理,可使无鼻窦炎的鼻源性头痛患者获得良好的临床效果。【Objective】To investigate the effect of the diagnosis of non-sinusitis-related rhinogenous headache and the nasal endoscopic surgery.【Methods】The 80 cases of non–sinusitis-related rhinogenous headache have been observed.First find the anatomic abnormal piece through nasal endoscope and computer tomography scan（CT） then take nasal endoscopic surgery.【Results】80 cases all suffered from paroxysmal nasal pain or frontal headache and had abnormal anatomy of the nasal cavity.66 cases complete disappearance of symptoms（82.5%）,14 cases headache symptoms disappeared or markedly remission（17.5%）,the total effective rate was 100%.【Conclusion】CT combined with nasal endoscopy may improve the diagnosis level of non-sinusitis-related rhinogenous headache.It can be obtained valuable results to difference patients through nasal endoscopic surgery.

关 键 词：鼻源性头痛 鼻腔结构/解剖学 鼻内镜手术 

分 类 号：R765.6[医药卫生—耳鼻咽喉科]