鼻内镜治疗鼻结构异常致头痛临床观察

目的 探讨鼻源性头痛的程度与鼻部结构异常的关系及鼻内镜治疗的效果。方法 将48例入选患者根据是否有鼻中隔偏曲分为A、B2组，用VAS评估2组的头痛程度，鼻内镜下矫正鼻腔异常解剖结构，并评估疗效。结果 A组与B组头痛强度差异有统计学意义（P<0.05）。两组鼻内镜下鼻结构整形处理后的头痛改善率差异无统计学意义(P>0.05)。结论 鼻内镜手术是治疗非炎症性鼻源性头痛的有效方法，鼻中隔偏曲可加重头痛程度，对于有复合因素存在引起头痛的患者，应逐一去除鼻腔解剖变异。

Rhinogenous headache related to abnormal anatomy of nasal cavity and treatment with nasal endoscopic surgery

Objective To explore the pathogenesis, diagnosis and treatment of rhinogenous headache with absence of sinusitis, and the headache severity relationship to anatomical factors. Method 48 cases were divided into two groups: A group (23 cases) with deviated nasal septum might have the abnormality of ostiomeatal complex (OMC)，a simple abnormality of OMC were observed in B group(25 cases) . The abnormal anatomical structure was resected or corrected by nasal endoscopy. The severity and improvement of headache were estimated with the visual analogue scale (VAS). Results The headache severity of group A was significantly higher than that of group B (P<0.05). There was no significant difference in the two groups in therapeutic effect by endoscopic surgery (P>0.05). Conclusion Endoscopic surgery is an effect method for rhinogenous headache with absence of sinusitis. Nasal septum deviation contributes to the severity of headache. It is important in treatment of correcting the complex abnormal anatomical structure.