Endoscopic intranasal structure reconstruction surgery in treating rhinogenic headache
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摘要: 目的:探讨鼻内镜下重建鼻内结构手术治疗鼻源性头痛的疗效。方法:对183例鼻源性头痛患者术前行鼻内镜检查和CT扫描,发现鼻腔解剖结构异常,鼻内镜下重建鼻内结构。结果:术后随访6~12个月,治愈156例(85.2%),显效18例(9.8%),无效9例(5.0%),临床总有效率95.0%。结论:鼻内镜手术治疗由鼻腔、鼻窦的解剖异常或疾病引起的鼻源性头痛,视野清晰明亮,操作准确,切除病灶彻底,并能使鼻内结构恢复正常,治疗效果良好,具有重要的临床应用价值。Abstract: Objective:To study the efficacy of endoscopic intranasal structure reconstruction surgery for rhinogenic headache.Method:One hundred and seventy cases of rhinologic headache were examined by nasal endoscopy and CT scan.The various abnormal anatomy were found in the patients.The nasal abnormality were corrected by nasal endoscopic surgery.Result:Followed up survey 6-12 months postoperatively,156 cases were cured,the cure rate of 183 cases was 85.2%,18 cases were obviously recovered(9.8%),9 cases did not recover.The clinical cure rate was 95.0%.Conclusion:Rhinogenic headache was caused by anatomic abnormality or disease.Endoscopic sinus surgery can accurately and completely clear the ill tissue,reconstruct the nasal structure,which have good therapeutic effect and important clinical value.
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