摘要
目的探讨鼻内镜在治疗鼻源性头痛中的应用价值。方法采用4mm0°和70°鼻内镜手术,去除鼻腔、鼻窦内病变组织,开放病变窦口,矫正解剖变异,使鼻窦炎症消退,鼻中隔居中,维持中鼻甲的形态。结果术后随访3～36个月,该组治愈128例,占56.6%(128/226),显效54例,占23.9%(54/226),有效36例,占15.9%(36/226),临床总有效率96.4%,无效8例。结论鼻源性头痛由鼻腔、鼻窦的解剖异常或疾病引起,手术治疗效果良好,鼻内镜下手术,视野清晰明亮,操作准确,切除病灶彻底,具有重要的临床应用价值。
[Objective] To study the value of endoscopic sinus surgery in treating rhinoriginie headache. [Methotis] 226 patients were treated with endoscopic sinus surgery （0°or 70° 4 mm endospie）, cleared the in fissure in nasal cavity and sinus, opened the ostium remendied anatomic abnormality and reconstructed nasal septal. [Resurt] Followed up survey 3-36 months postaperatively. 128 cases were cured, the cure rate of 226 eases was 56.6%, 54 eases were obviously recovered （23.9%）, 36 cases were effectively recovered （15.9%）. The clinical cure rate was 96.4%. 8 eases did not recover. [Conclusion] Rhinoriginie headache was caused by anatomic abnormality or disease. Surgery is good and successful. Endospie sinus surgery can clear the ill tissue and have important clinical value.
出处
《中国内镜杂志》
CSCD
北大核心
2007年第3期270-272,共3页
China Journal of Endoscopy
关键词
鼻内镜
鼻源性头痛
手术
endoscopic sinus
rhinoriginie headache
surgery
