鼻腔结构异常所致单纯性鼻源性头痛临床观察

Clinical observation of simple rhinologic headache due to rhinal structural abnormalities

目的探讨鼻腔结构异常所致单纯性鼻源性头痛的病因及合理的治疗措施。方法对62例无鼻窦炎单纯性鼻源性头痛患者,采用高分辨率CT检查结合鼻内窥镜技术,对鼻腔结构的异常进行分析,明确病因后应用鼻内窥镜微创技术对鼻腔解剖异常的部位进行纠正。结果62例中治愈46例、有效12例、无效4例。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,可使单纯性鼻源性头痛患者获得良好的临床效果。

Objective To analyze the causes and evaluate the therapies for simple rhinologic headache resulting from rhinal structural abnormalities. Method A retrospective analysis of 62 cases of simple rhinologic headache was conducted. All the patients were examined by high-resolution CT and nasal endoscopy to identify the anatomic structural abnormality in the nasal cavity. After establishment of the diagnosis, the nasal abnormalities were corrected by nasal endoscopic surgery. Result Of all the cases, 46 were cured, 12 responded favorably to the treatment, and 4 failed to respond possibly due to multiple causes of the headache and misdiagnosis. Conclusion High-resolution CT combined with nasal endoscopy may improve the diagnosis of simple rhinologic headache and nasal endoscopic surgery may serve as an effective modality for its treatment by correcting the nasal structural abnormalities.