鼻内镜下重塑鼻腔结构治疗鼻腔粘膜接触点头痛的临床观察

Reconstruction of nasal endoscopic treatment of nasal mucosal contact point structure of the clinical observation of headache

目的探讨鼻内镜下重塑鼻腔结构治疗鼻解剖变异及粘膜接触点头痛的可行性。方法对136例鼻解剖变异及粘膜接触点头痛患者进行CT及鼻内窥镜检查,进行鼻解剖结构评估,对药物治疗1个月无效患者采取鼻内镜下选择性多结构重塑手术治疗,随访6个月～2年,评估疗效。结果 106例治愈,25例有效,5例无效,有效率96.3%。结论鼻中隔、中(下)鼻甲、钩突、筛泡等解剖变异是粘膜接触点头痛的主要原因,鼻内窥镜下重塑鼻腔结构治疗鼻腔粘膜接触点头痛以纠正鼻腔病理性改变、调整两侧气流的对称性分布为主,为鼻腔生理功能的恢复创造条件。

Objective Reconstruction of nasal endoscopic treatment of nasal anatomic variations of the structure and the feasibility of mucosal contact point headaches.Methods 136 patients with nasal anatomic variations and mucosal contact point headaches in patients with CT and nasal endoscopy to assess nasal anatomy,ineffective drug therapy in patients 1 month to more than selective remodeling of endoscopic surgery,followk-up June-2,the assessment of efficacy.Results 106 patients were cured,25 cases were effective,5 cases,efficiency 131（96.3%）.Conclusion The nasal septum,middle（lower） middle turbinate,uncinate process,ethmoid bulla and other anatomical variation is the main reason for mucosal contact point headaches,nasal reshaping the structure under nasal endoscopy nasal mucosal contact point headaches treatment to correct the pathological changes of the nasal cavity,to adjust distribution of air flow on both sides of the symmetry of the main physiological function for the nasal cavity to create conditions for the recovery.