筛前神经综合征的诊断和治疗

Diagnosis and treatment of anterior ethmoidal nerve syndrome

目的:探讨筛前神经综合征的诊断和治疗方法。方法;回顾分析27例诊断筛前神经综合征行中鼻甲切除手术治疗患者的临床资料。结果:随访8个月～6年,无头痛发作22例,失访2例,3例因其他原因致头痛已治愈,未发生鼻腔粘连、脑脊液漏、嗅觉丧失等并发症。结论:鼻CT冠状位扫描、鼻内镜检查和血管收缩剂诊断试验是诊断筛前神经综合征的重要措施,中鼻甲切除是治疗筛前神经综合征较好的方法。

Objective：To investigate the diagnosis and treatment of anterior ethmoid nerve syndrome.Methods：The clinical data of 27 patients with anterior ethmoidal nerve syndrome who underwent middle turbinate resection were retrospectively analyzed. Results：After fllowed up from 8 months to 6 years,there were 22 cases without headache,2 cases were lost visited,3 cases of headache caused by other causes,no complications such as nasal cavity adhesion,cerebrospinal fluid leakage and loss of smell. Conclusion：Nasal CT coronal scan,nasal endoscopy and vasoconstrictor diagnostic test are important measures for the diagnosis of anterior ethmoidal nerve syndrome.Middle turbinate resection is a better method for the treatment of anterior ethmoidal nerve syndrome.