目的探讨鼻内结构正常化手术治疗鼻源性头痛的疗效。方法对160例鼻源性头痛患者实施鼻内镜下矫正鼻内解剖异常,去除鼻腔、鼻窦内病变组织,开放病变窦口,使鼻中隔居中,维持中下鼻甲的形态,使鼻窦炎性消退。结果术后随访3～24个月,治愈97例,占60.6%;显效40例,占25.0%;有效18例,占11.3%,临床总有效率96.9%;无效5例。结论鼻内镜下鼻内结构正常化手术,视野清晰明亮,操作准确,彻底切除病灶,使鼻内结构恢复正常,治疗效果良好,具有重要的临床应用价值。 Objective To investigate the efficacy of nasal structure normalization in the treatment of nasal headache. Methods One hundred and sixty patients with nasal headache were treated with endoscopic sinus surgery to correct the intranasal anatomical abnormalities. The nasal and sinus tissues were removed and the diseased ostium was opened. The nasal septum was inhabited and the shape of the middle and inferior turbinate was maintained. The sinusitis subsided. Results The patients were followed up for 3-24 months, 97 cases were cured, accounting for 60.6%; 40 cases were markedly effective, accounting for 25.0%; 18 cases were effective, accounting for 11.3%; the total effective rate was 96.9%; 5 cases were ineffective. Conclusion Nasal endoscopic nasal structure normalization surgery, clear and bright field of vision, accurate operation, complete removal of the lesion, the nasal structure returned to normal, the treatment effect is good, has important clinical value.