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目的探讨鼻源性头痛诊断及鼻内镜手术治疗的疗效。方法分析156例以头痛为主诉的患者鼻内镜和鼻窦CT扫描等资料及其鼻内镜下手术治疗的方法。结果鼻内镜及CT扫描检查发现钩突、筛泡变异和窦口鼻道复合体区域的病变最为明显。鼻内镜术后随访6～24个月。手术治疗130例,治愈102例,有效23例,无效5例。结论窦口鼻道复合体解剖变异和病变是引起头痛的主要原因,鼻内镜结合鼻窦CT扫描,可较准确地发现引起鼻源性头痛病灶的确切部位,及时行鼻内镜手术治疗可获良好效果。
Objective To investigate the diagnosis and treatment of nasal headache by endoscopic surgery. Methods 156 patients with headache as the chief complaint of patients with endoscopic sinus CT scan and other information and its endoscopic surgical treatment. Results Nasal endoscopy and CT scan revealed the most obvious lesions of uncinate process, sieve bubble variation and sinus ostiomere complex area. After endoscopic sinus surgery for 6 to 24 months. 130 cases were treated surgically, 102 cases were cured, 23 cases were effective and 5 cases were ineffective. Conclusions Anatomical variation and pathological changes of ostiomeatal complex are the main causes of headache. Nasal endoscopy combined with CT scan can detect the exact location of the nasal headache lesions and timely treatment with endoscopic sinus surgery Good effect.