鼻内镜手术治疗筛前神经综合征35例

Clinic Analysis of Anterior Ethmoidal Nerve Syndrome of 35 Cases

目的探讨筛前神经综合征的病因、临床特征和治疗方法。方法对35例筛前神经综合征患者进行CT、鼻内镜检查和1%地卡因及1%麻黄素试验明确诊断,根据患者的具体解剖变异不同,实行相应的手术方式,术后随访0.5-2年,总结其疗效。结果鼻内镜检查和CT扫描结果显示,35例中鼻中隔高位偏曲8例,中鼻甲肥大9例,中鼻甲气化7例,中鼻甲下部向内偏移5例,筛窦过度气化致中鼻甲内移6例。手术后临床效果：显效32例（91.4%）,有效3例（8.6%）,总有效率100%。结论鼻内镜下微创手术治疗筛前神经综合征是一种安全、有效的治疗方法。术前须常规行鼻内镜和CT扫描检查。

Objective To investigate the etiological factor and clinical features of anterior ethmoid nerve syndrome and to explore therapies for this syndrome.Methods 35 cases of ethmoid nerve syndrome were diagnosed by CT endoscopy and 1%tetracaine and 1%ephedrine tests and treated by different surgical methods,according to the specific anatomical variations.All the cases were followed up for 0.5 to 2 years to evaluate the curative effect.Results Among these cases,8 were found with upper septum deviation,9 with middle turbinate hypertrophy,7 with middle turbinate pneumatization,5 with shift of middle turbinate,6 with lower middle turbinate deviation inwards due to the ethmoid sinus overgrowth.Following the surgical therapy,32 cases（91.4%）were significantly effective and 3（8.6%）were effective,all with their symptoms much immproved.Conclusions Minimally invasive endoscopic surgery is a safe,effective treatment for ethmoid nerve syndrome.All patients underwent preoperative nasal endoscopy and CT scan.