鼻内镜手术治疗鼻腔粘膜接触性头痛

J4 ›› 2013, Vol. 12 ›› Issue (3): 51-53.

鼻内镜手术治疗鼻腔粘膜接触性头痛

大理学院附属医院，云南大理 671000

收稿日期:2012-06-29 出版日期:2013-03-15 发布日期:2013-03-15
作者简介:陈银忠，主治医师，主要从事耳鼻咽喉科研究.

Nasal Endoscopic Operation in the Treatment of Nasal Mucosa Contact Point Headache

Affiliated Hospital of Dali University, Dali, Yunnan 671000, China

Received:2012-06-29 Online:2013-03-15 Published:2013-03-15

摘要/Abstract

摘要：

目的：通过对鼻内镜手术治疗鼻腔粘膜接触性头痛的临床观察，探讨鼻腔粘膜接触区与头痛的相关性及鼻内镜手术治
疗鼻腔粘膜接触性头痛的可行性。方法：统计52例鼻内镜手术治疗的鼻腔粘膜接触性头痛患者术前及术后头痛情况并进行分析。结果：鼻内镜手术治疗鼻腔粘膜接触性头痛术后3~6月有效率为96.2%，12~24月总有效率为82.7%。结论：鼻腔粘膜接触是难治性头痛的原因之一，鼻内镜手术矫正解剖结构异常可缓解头痛，但鼻腔粘膜接触不是难治性头痛的唯一病因，术后应长期随访以观察远期疗效。

关键词: 头痛, 鼻内镜, 鼻疾病

Abstract:

Objective: To verify the correlation between nasal mucosa contact point and headache and to discuss the significance and feasibility of nasal endoscopic surgery through observation of clinical outcomes in patients with nasal mycosa contact point treated by endoscopic surgery. Methods: 52 cases of endoscopic operation in treatment of nasal mucosa contact point headache in patients with preoperative and postoperative headache were analyzed. Results: The total efficiency of nasal endoscopic operation in the treatment of nasal mucosa contact point headache was 96.2%for 3-6 months and 82.7%for 12-24 months. Conclusion: Nasal mucosal contact is one of the causes of refractory headache. Nasal endoscopic operation for correction of abnormal anatomic structure can relieve the headache, but nasal mucosal contact is not the only etiology of refractory headache. After operation, patients should require continued follow - up to observe the long - term effect.

Key words: headache, nasal endoscopic, nose diseases

中图分类号:

R765.25

陈银忠, 董琴, 俞德顺, 郭清华. 鼻内镜手术治疗鼻腔粘膜接触性头痛[J]. J4, 2013, 12(3): 51-53.

CHEN Yin-Zhong, DONG Qin, YU De-Shun, GUO Qing-Hua. Nasal Endoscopic Operation in the Treatment of Nasal Mucosa Contact Point Headache[J]. J4, 2013, 12(3): 51-53.

[1]	杨重胜, 李雪梅. 黛力新治疗慢性偏头痛临床疗效观察[J]. J4, 2011, 10(8): 41-42.
[2]	贺永刚. 鼻内镜下中下鼻道联合开窗术治疗真菌球型上颌窦炎90例[J]. J4, 2011, 10(12): 73-74.
[3]	罗恒, 余红, 周晓红. 改良鼻内镜下泪囊鼻腔造孔术治疗慢性泪囊炎16眼[J]. J4, 2010, 9(2): 76-77.