鼻内镜手术治疗鼻腔粘膜接触性头痛

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。

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

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 eflqciency 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.