鼻中隔偏曲致鼻源性头痛患者术前CT表现及手术治疗效果  

Preoperative CT performance and surgical treatment in patients with rhinogenic headache by nasal septum deviation

作　　者：冯子红 王璟 宋炎玲 王容 黄兴志 FENG Zihong;WANG Jing;SONG Yanling;WANG Rong;HUANG Xingzhi(Department of Otolaryngology,Guangyuan Hospital of Traditional Chinese Medicine Affiliated to Chengdu University of Traditional Chinese Medicine,Guangyuan 628000,China)

机构地区：[1]成都中医药大学附属广元市中医医院耳鼻喉科,四川广元628000

出　　处：《分子影像学杂志》2022年第1期110-113,共4页Journal of Molecular Imaging

基　　金：广元市科技厅基金项目(19ZDYF0030)。

摘　　要：目的分析鼻中隔偏曲致鼻源性头痛患者术前CT表现及手术治疗效果。方法选取2018年1月~2020年12月于我院收治的132例鼻中隔偏曲致鼻源性头痛患者作为研究对象,结合CT影像学检查分析鼻中隔偏曲部位、程度分布情况、CT表现及下鼻甲测量结果,比较患者头痛程度,分析不同头痛等级患者的手术治疗效果。结果CT影像学结果表明:132例鼻中隔偏曲患者中24例位于前部,62例位于中部,40例位于中下部,2例位于中上部,1例位于后下部,3例位于后下部;轻度偏曲者10例,中度偏曲者114例,重度偏曲者8例;CT结果显示:所有患者中呈“C”形62例(顶点变尖者2例),反“C”形59例(顶点变尖者2例),“S”形6例,反“S”形1例,“<”形1例,“>”形2例,混合形1例。根据VAS评分对头痛等级分类,132例患者中,11例为Ⅰ级头痛,33例为Ⅱ级头痛,80例为Ⅲ级头痛,8例为Ⅳ级头痛;鼻中隔偏曲对侧下鼻甲角度及面积均大于同侧(P<0.05);治疗结束后随访结果显示,总治愈率为68.94%,无效率为7.58%,其中Ⅲ级及以下头痛治愈率均超过66.00%,治疗总有效率为92.42%。结论鼻中隔偏曲致鼻源性头痛患者术前进行CT检查可清晰准确的反映偏曲的真实情况,有助于手术有效进行,提高临床治疗效果。Objective To analyze the preoperative CT performance and surgical treatment effect of patients with rhinogenic headache caused by nasal septum deviation. Methods A total of 132 patients with rhinogenic headache caused by nasal septum deviation admitted to our hospital from January 2018 to December 2020 were selected as the research objects.Combined with CT imaging examination, the location, degree distribution, CT manifestations and measurement results of inferior turbinate of nasal septum deviation were analyzed to compare the headache degree of patients and analyze the surgical treatment effect of patients with different headache grades. Results In this study, CT imaging results showed that in132 patients with deviated nasal septum, 24 cases were located anterior, 62 cases were located centrally, 40 cases in the middle and lower part, 2 cases in the middle and upper part, 1 case in the lower part and 3 cases in the lower part, 10 cases were mildly deviated, 114 cases were moderately deviated and 8 cases were severely deviated. CT results showed that 62 cases showed "C" shape(2 cases with acuminate apex), 59 cases showed reverse "C" shape(2 cases of apex sharpening), and 6 cases showed "S" shape, 1 case showed reverse "S" shape, 1 case showed "<" shape, 2 cases showed ">" shape, 1 case showed mixed shape. According to the classification of headache grade by VAS score, among 132 patients, 11 patients had grade Ⅰ headache,33 patients had grade Ⅱ headache, 80 patients had grade Ⅲ headache and 8 patients had grade Ⅳ headache. The angle and area of inferior turbinate on the opposite side of nasal septum deviation were larger than those on the same side, and the difference between them was statistically significant(P<0.05). The follow-up results after the treatment showed that the total cure rate was 68.94%, the inefficiency rate was 7.58%, among which the cure rate of grade Ⅲ and below headache was more than 66.00%, and the total effective rate was 92.42%. Conclusion Preoperative CT examination of patients

关 键 词：鼻中隔偏曲 鼻源性头痛 CT表现 手术治疗效果 

分 类 号：R765.9[医药卫生—耳鼻咽喉科] R730.44[医药卫生—临床医学]