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目的 探讨增加副鼻窦、颈椎CT扫描对诊断不明原因头痛的临床价值。方法 对 1 2 0例颅脑CT扫描结果阴性的头痛患者增加副鼻窦螺旋CT扫描 ,并做模拟内窥镜 ,其中 6 7例还增加颈椎CT扫描。结果 发现副鼻窦炎 35例 ,副鼻窦肿瘤 2例。颈椎椎体病变 5 5例 ,横突孔变小 7例。结论 增加副鼻窦和颈椎CT扫描 ,可提高不明原因头痛的确诊率 ,有利于及时发现副鼻窦、颈椎病变 ,也有利于临床诊治头痛
Objective To investigate the clinical value of paranasal sinuses and cervical spine CT scan in diagnosis of headache of unknown origin. Methods One hundred and twenty cases of headache patients who had negative brain CT scan were included in this study. A CT scan of paranasal sinuses was performed and simulated endoscopy was performed. 67 of them also had cervical CT scan. The results found that sinusitis in 35 cases, paranasal sinus tumors in 2 cases. Vertebral body lesions in 55 cases, transverse foramina became smaller in 7 cases. Conclusions The increase of paranasal sinus and cervical CT scan can increase the diagnosis rate of unexplained headache, which is helpful for the timely detection of paranasal sinuses and cervical lesions, as well as clinical diagnosis and treatment of headache