鼻内镜手术治疗非感染性鼻源性头痛60例疗效观察  

Clinical efficacy of endoscopic sinus surgery in 60 cases of non-infectious rhinogenic headache

作　　者：李祥东 陈少华[2] 刘涛[2] LI Xiang-dong;CHEN Shao-hua;LIU Tao(Department of Otolaryngology,Head and Neck Surgry,Zhuhai Hospital of Guangdong Provincial People's Hospital(Zhuhai Golden Bay Center Hospital),Zhuhai 519041,China;Department of Otolaryngology,Head and Neck Surgery,Guangdong Provincial People's Hospital,Guangzhou 510080,China)

机构地区：[1]广东省人民医院珠海医院(珠海市金湾中心医院)耳鼻咽喉-头颈外科,广东珠海519041 [2]广东省人民医院耳鼻咽喉-头颈外科,广东广州510080

出　　处：《广东医科大学学报》2020年第2期167-169,共3页Journal of Guangdong Medical University

基　　金：国家自然科学基金项目(No.81573000)。

摘　　要：目的观察鼻内镜手术对非感染性鼻源性头痛的的疗效。方法60例非感染性鼻源性头痛患者采用鼻内镜手术重塑鼻腔结构,6~12个月观察疗效。结果60例患者均有解剖结构异常,其中鼻中隔偏曲30例、中鼻甲异常31例、窦口鼻道复合体异常18例。术后痊愈45例(75.0%),缓解12例(20.0%),无效3例(5.0%)。结论鼻内镜手术重塑鼻腔结构对非感染性鼻源性头痛有良好疗效。Objective To observe the clinical efficacy of endoscopic sinus surgery(ESS)in non-infectious rhinogenic headache(NIRH).Methods Sixty NIRH patients underwent ESS,and their efficacy was evaluated after 6-12 months.Results Anatomical abnormalities were present in all cases,including nasal septum deviation(n=30),abnormal middle turbinate(n=31),and abnormal ostiomeatal complex(n=18).Of 60 cases,recovery,remission,and ineffectiveness occurred in 45(75.0%),12(20.0%),and 3(5.0%)cases,respectively.Conclusion Nasal structural remodeling of ESS is effective for NIRH.

关 键 词：鼻源性头痛 鼻内镜手术 鼻腔 

分 类 号：R765.9[医药卫生—耳鼻咽喉科]