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目的:探讨非炎症性鼻源性头痛的病因、临床特点及治疗。方法:分析89例非炎症性鼻源性头痛患者的临床症状、鼻腔解剖学特点,并行鼻内镜手术治疗,术后随访1～3年,总结其疗效。结果:所有患者均经高分辨率鼻窦CT及鼻内镜检查后发现存在有鼻腔解剖结构异常,经鼻内镜手术后头痛缓解,疗效满意。结论:非炎症性鼻源性头痛系鼻腔解剖结构异常所致,通过鼻内镜手术矫正异常的鼻腔解剖结构能达到良好的治疗效果。
Objective: To explore the etiology, clinical features and treatment of non-inflammatory nasal headache. Methods: The clinical symptoms, nasal anatomy characteristics of 89 patients with noninflammatory nasal headache were analyzed. The patients underwent endoscopic sinus surgery and were followed up for 1 to 3 years. The curative effect was summarized. Results: All patients had abnormal nasal anatomy after high-resolution CT and endoscopic sinus surgery. All patients had satisfactory headache after endoscopic sinus surgery. CONCLUSIONS: Non-inflammatory nasal headache is caused by abnormal nasal anatomy, and good nasal endoscopic sinus surgery results in good therapeutic effect.