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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。
Objective To investigate the relationship between nasal headache and nasal structure abnormalities and the effect of endoscopic treatment. Methods Forty-eight selected patients were divided into groups A and B2 according to whether there was deviation of nasal septum. VAS was used to evaluate the degree of headache in two groups. The abnormal anatomy of nasal cavity was corrected by endoscopy and the curative effect was evaluated. Results The difference of headache intensity between group A and group B was statistically significant (P <0.05). No significant difference was found in the improvement rate of headache after nasal endoscopic nasal surgery between two groups (P> 0.05). Conclusion Endoscopic sinus surgery is an effective method to treat non-inflammatory nasal headache. Nasal septum deviation may aggravate the degree of headache. For patients with headache caused by complex factors, nasal anatomical variation should be removed one by one.