局部麻醉试验和筛前神经痛外科治疗预后关系探讨

PROGNOSIS OF SURGICAL TREATMENTAND TOPICAL ANESTHESIA TESTIN ANTERIOR ETHMOIDAL NEURALGIA

目的：探讨筛前神经痛外科手术治疗预后与鼻腔局部麻醉试验之间的关系。方法：对一组鼻源性前额、眼眶、眶周及面部疼痛患者进行鼻内局部麻醉试验，对阳性患者进行手术治疗，设阴性手术组及阴性药物治疗组为对照，观察疗效，随访１２～３１个月。结果：经统计学处理，局部麻醉试验与预后间有非常显著的关联（Ｐ＜００１），残差分析结果阳性手术组治愈概率（估计值为０７３８）显著大于所有患者中的治愈概率（估计值为０３７６），而无效的概率（估计为００８２）显著小于所有患者无效的概率（估计值为０２６８）。

Objective: To explore the relationship between the prognosis of surgical treatment and topical anesthesia test in anterior ethmoidal neuralgia. Methods: The intranasal topical anethesia test was performed in patients diagnosed as rhinogenic headache or facial pain. The patients with positive test were treated surgically by middle turbinectomy or septal surgery (Group A). As a control, the other patients with negtive test were treated surgically (Group B) or with systemic decongestant and local steroid and other medicine (Group C). Results: The cure probability of Group A (0.738) was significantly greater than all the other patients (0.376). The invalid probability of Group A (0.082) was significantly smaller than all the others (0.268). The value in the brackets was an estimated probability. Conclusion: The results indicate that the test is a good diagnostic criterion and a prognostic aid for postoperative pain relief in the anterio ethmoidal neuralgia.