鼻睫神经痛43例临床分析

目的 :探讨鼻睫神经痛的临床特征 ,以提高对该病的诊治水平。方法 :对 4 3例鼻睫神经痛患者的临床资料进行回顾性分析 ;4 3例分别行中鼻甲部分切除术、外折术或部分切除术加外折术及鼻中隔矫正术。结果 :4 3例中 ,误诊筛窦炎 9例 ,额窦炎 7例 ,偏头痛 5例 ,血管神经性头痛 4例 ;漏诊 5例 ,误诊率为 6 9.8% (30 / 4 3)。术后随访 6～ 2 4个月 ,治愈 4 1例 (95 .3% ) ,有效 2例 (4.7% ) ,总有效率为 10 0 .0 %。结论 :本病好发于中年女性 ,主要表现为与筛、额窦炎相似的头痛 ,但无流涕 ;细致的鼻腔检查及鼻窦CT扫描是防止漏诊、误诊的重要手段 ;恰当的鼻中隔及中鼻甲矫正术疗效确切 ,且无嗅觉减退并发症。

Analysis of clinical manifestations in nasociliary neuralgia

Objective:To explore the clinical character of nasociliary neuralgia and improve the level of diagnosis and treatment.Method:Forty-three cases with nasociliary neuralgia were diagnosed and treated in our hospital . The clinical data were analyzed retrospectively.Result:It was easy to be misdiagnosed for nasociliary neuralgia,the rate of misdiagnosis was 69.8%(30/43).Performing the resection of upper nasal septum deviation,partial middle turbinetectkomy or/and folded,43 cases were followed up from 6 to 24 months,the cural rate and the improve rate were 95.3% and 4.7% respectively,with the total effective rate 100.0%.Conclusion:Most patients with nasociliary neuralgia are middle-aged women .It is similar to ethmoid sinusitis and frontal sinusitis in headache,but no suppurative rhinorrhea.Careful examination of nasal cavity and CT scan in sinus play an important role in avoiding misdiagnosis.The corrective surgery of middle turbinate and nasal septum are effective treatment and the complication of dysosmia can be avoided.