摘要
目的探讨鼻源性头痛诊断及鼻内镜手术治疗的疗效。方法分析63例以头痛为主诉的病人的鼻内镜和鼻窦CT扫描等资料及其鼻内镜下手术治疗的方法。结果鼻内镜及CT扫描检查发现钩突、筛泡变异和窦口鼻道复合体区域的病变最为明显。鼻内镜术后随访6个月～5年,46例头痛完全消失,15例术后头痛明显减轻,2例无效。结论窦口鼻道复合体解剖变异和病变是引起头痛的主要原因,鼻内镜结合鼻窦CT扫描,可较准确地发现引起鼻源性头痛病灶的确切部位,及时行鼻内镜手术治疗可获良好效果。
Objective To explore the diagnosis and the transnasal endoscopic surgery of the nasal headache. Methods The examination of nasal endoscope and CT of 63 cases with nasal headache were analyzed, and transnasal endoscopic surgery was done on all patients. Results The variations of uncinate process and ethmoid bulla, and the pathological changes of ostiomeatal complex were the most common findings in the nasal headache patients under nasal endoscop and sinus CT examination. Follow-up 6 months to 5 years, 46 cases were cured, 15 were improved, and 2 failed. Conclusion The variations and pathological changes of ostiomeatal complex were the material cause in the nasal headache patients. The real lesion of the nasal headache can be detected by the examination of nasal endoscope combined with CT. It is effective to perform transnasal endoscopic surgery in time.
出处
《中国耳鼻咽喉颅底外科杂志》
CAS
2003年第5期283-285,共3页
Chinese Journal of Otorhinolaryngology-skull Base Surgery
