鼻腔黏膜接触点性头痛40例临床分析

Clinical analysis of 40 cases of mucosa contact point headache

目的:探讨鼻内镜技术在鼻腔黏膜接触点性头痛诊断和治疗中的价值。方法:采用4mm0°和30°鼻内镜,去除鼻腔、鼻窦内病变组织,矫正解剖变异,使鼻中隔居中,维持中鼻甲、下鼻甲的形态。结果:术后随访6～24个月。痊愈15例(37.5%),好转19例(47.50%),无效6例(15%)。中鼻甲与鼻腔外侧壁粘连3例,下鼻甲与鼻中隔粘连2例。结论:黏膜接触点性头痛多由鼻腔、鼻窦的解剖异常引起,鼻内镜技术诊断和治疗黏膜接触点性头痛效果良好。

Objective ：To study the value of endoscopic technique in diagnosing and treating mucosa contact point headache. Methods：40 patients were diagnosed and treated with endoscopic technique （0°or 30°4 mm endospie ）, cleared the ill tissue in nasal cavity and sinus, remendied anatomic abnormality and reconstructed nasal septal. Results ：Followed up survey 6 24 months postaperatively. 15 cases were cured（37. 5%）, 19 cases were relieved to an extent（47.5%）, and 6 cases did not benefit. A significant decrease in the severity and frequency of headaches is noted after endospic sinus surgery. Conclusion：Mucosa contact point headache is caused by anatomic abnormality . Endoscopic technique is good and successful in diagnosing and treating mueosa contact point headache. Endospic sinus surgery can clear the ill tissue and has an important clinical value.