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临床检查患者的鼻中隔大都有不同程度的偏曲,但要确定手术适应征却很困难。作者据1000例鼻中隔粘膜下切除术的经验分析如下: 一、显著鼻中隔偏曲所引起的鼻塞;这种情况最多见,计425例,其中大多数是鼻部外伤性鼻中隔偏曲及先天性鼻中隔软骨下缘畸形,多伴有前鼻部轻度变形,可在鼻中隔粘膜下切除术时同时矫正。全部手术患者效果满意,鼻呼吸功能恢复较好。二,鼻源性头痛:一般头痛发病机理有六:(一)牵拉自脑表面进入静脉窦的静脉;(二)牵拉脑膜中动脉;(三)牵拉脑底大动脉及其主要分支;(四)颅内动脉曲张扩大;(五)头部痛觉敏感结构或其邻近的炎症;(六)含有大量
Most patients with nasal septum clinical examination have varying degrees of deviation, but to determine the surgical indications is very difficult. According to 1000 cases of sub-nasal septum resection experience is as follows: First, significant nasal septum deviation caused by nasal congestion; this is the most common, accounting for 425 cases, most of them nasal traumatic nasal septum deviation and congenital nasal septum Cartilage lower edge deformity, with more mild deformation of the anterior nasal, nasal septum submucosal resection can be corrected at the same time. Satisfactory results of all surgical patients, nasal respiratory function recovered better. Second, nasal headache: The general pathogenesis of headache, there are six: (a) from the surface of the brain into the venous sinus veins; (two) pull the middle of the meningeal artery; (c) pull the main artery and the main branch of the brain; (D) the expansion of intracranial varicose veins; (e) head pain-sensitive structures or adjacent inflammation;