鼻内镜下鼻内结构重建治疗鼻源性头痛

Endoscopic intranasal structure reconstruction surgery in treating rhinogenic headache

目的探讨鼻内结构重建手术治疗鼻源性头痛的疗效。方法对50例鼻源性头痛患者实施鼻内镜下矫正鼻内解剖异常,去除鼻腔、鼻窦内病变组织,开放病变窦口,使鼻中隔居中,维持中下鼻甲的形态,消退鼻窦炎症。结果术后随访3~18个月,治愈30例,占60%;显效12例,占24%;有效5例,占10%,临床总有效率94%,无效3例。结论鼻内镜下鼻内结构重建手术视野清楚,能够准确彻底地清除病灶,使鼻内结构恢复正常,治疗效果良好,具有重要的临床价值。

Objective To explore the effect of endoscopic intranasal structure reconstruction surgery for rhinogenic headache.Methods 50 patients were treated with endoscopic intranasal structure reconstruction surgery.Lesions in the nasal cavity and the sinus were removed and the sinus ostium was opened,the anatomic abnormality was corrected,nasal septal and middle turbinate and inferior turbinate were reconstructed and sinusitis dissipated.Results Followed up from 3 to 18months post-operatively,30 cases（60%）were cured,12cases were obviously recovered（24%）,and 5 cases were effectively recovered（10%）.The clinical effective rate was 94%.3 cases had no recovery.Conclusion Endoscopic intranasal structure reconstruction surgery can accurately and clearly remove the ill tissue with a good therapeutic effect and has important clinical value.