增加副鼻窦CT扫描对诊断不明原因头痛的临床价值

Clinical Value in Diagnosing Headache Without Reasons if Paranasal Sinus CT Scan Applied

目的：探讨增加副鼻窦ＣＴ扫描对诊断不明原因头痛的临床价值。材料与方法：对８０例颅脑ＣＴ扫描结果阴性的头痛患者增加副鼻窦螺旋ＣＴ扫描，并作模拟内窥镜。结果：发现副鼻窦炎患者２３例，其中上颌窦炎合并筛窦炎与鼻甲肥大患者９例，同时合并蝶窦炎与额窦炎患者２例，单纯鼻甲肥大患者１２例，鼻中隔偏曲６例。上颌窦囊肿１例，剧鼻窦肿瘤１例。结论：颅脑与副鼻窦联合ＣＴ扫描，可提高不明原因头痛的确诊率，有利于及时发现副鼻窦病变，也有利于临床诊治头痛。

Purpose: To evaluate the clinical value in diagnosing headache without reasons when we add CT scan of paranasal sinus. Materials and Methods: 80 headache cases with negative CT result were applied paranasal sinus spiral CT and virtual endoscopy. Results: 23 sinusitis cases were found among these cases. Varieties of diseases were exist. Conclusion: If head underwent CT scan with paranasal sinus diagnostic probability was increased and results also benefit to clinics.