鼻腔结构重建术治疗青少年鼻腔粘膜接触性头痛的疗效分析_邹胜琴_何刚.pdfVIP

网络出版时间：2013-02-21 11:39 网络出版地址：/kcms/detail/51.1705.R1139.001.html 鼻腔结构重建术治疗青少年鼻腔粘膜接触性头痛的疗效分析 邹胜琴 何刚 四川省人民医院耳鼻咽喉科，四川 成都 610041 [摘要] 目的总结鼻腔结构重建术治疗青少年鼻腔粘膜接触性头痛的治疗效果。 方法 2008年8月～2011年8月我科对63例因鼻腔结构异常导致鼻腔粘膜接触性头 痛的青少年患者，经药物治疗无效而采用鼻腔结构重建术治疗。术后6个月，比 较手术前后患者症状缓解情况及头痛 VAS （visual analogue scale）评分，评 价疗效。结果 63例患者，治愈32例，好转25例，总有效率90.5%。术后6个月， 患者头痛症状明显好转，VAS 评分分别为7.34±1.78、2.20±1.52，t =2.316， P0.05，差异有显著性。结论 对鼻腔结构异常导致鼻腔粘膜接触性头痛的青少 年患者，鼻腔结构重建术是一种有效的治疗方法。 [关键词] 鼻腔；结构异常；粘膜接触性头痛；重建术；青少年 Effectiveness analysis of nasal cavity structure reconstruction on adolescent cases with nasal mucosa contact headache ZOU Shengqin HE Gang Department of Otolaryngology Head and Neck Surgery, Sichuan Provincial People’s Hospital, Chengdu, Sichuan, 610041 [Abstract] Objectives: To summarize therapeutic effect of nasal cavity reconstruction on adolescent cases with nasal mucosa contact headache. Methods: Nasal cavity structure reconstruction was performed on 63 adolescent cases with nasal mucosa contact headache due to abnormalities of nasal cavity structure after ineffective drug treatment, who were admitted between Aug. 2008 and Aug.2011 in our department. Symptom relief and visual analogue scale (VAS) scores before and after surgery were compared to assess efficacy 6 months later. Results: 32 cases were cured, and 25 were improved among the 63 cases, with general effective rate of 90.5%. 6 months later, headache symptom was o