接触性头痛患者鼻结构变异整体微创治疗疗效评估

The evaluation of endoscopic rhinoplasty of nasal cavity for treatment of intranasal contact point headaches

目的评估内镜下鼻解剖结构整体微创整形治疗接触性头痛的疗效。方法25例接触性头痛患者结合内镜检查和鼻窦CT评估，将中鼻甲成形、窦口鼻道复合体功能性切除、局限性鼻中隔黏膜下矫正等各个单一手术组合，制定个性化整体微创整形方案。结果25例患者术后随访9～12个月，平均10个月。痊愈21例（84．00％），有效3例（12．00％），无效1例（4．00％），总有效率96．00％（24／25）。结论对接触性头痛患者内镜下双侧鼻腔多种变异结构整体微创整形，恢复其对称性结构，可有效治疗接触性头痛。

Objective To discuss endoscopic surgical treatment and its effect of intranasal contact point headaches. Methods Twenty-five patients with intranasal contact point headaches were treated by endoscopic rhinoplasty of nasal cavity, including middle turbinoplasty, functional resection of ostiomeatal complex, endoscopic submucous septoplasty. Achieved organic combination of the above surgery methods according to the different results of the CT scan and endoscope, the surgical procedure was designed individually. Results All patients were followed up for 9 to 12 months. Recovery was 21 cases （84.00%）, efficacy was 3 cases （12.00%）, inefficacy was 1 case （4.00%）, the rate of fully recovered without serious complication was 96.00% （24/25）. Conclusions Intranasal contact point headaches is a sort of the nasal headaches as a result of multi abnormality of nasal cavity structure. Endoscopic rhinoplasty is an effective treatment by means of reconstructing the balance of bilateral nasal cavity and improving its function.