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目的探讨筛前神经综合征的病因、临床特征和治疗方法。方法对35例筛前神经综合征患者进行CT、鼻内镜检查和1%地卡因及1%麻黄素试验明确诊断,根据患者的具体解剖变异不同,实行相应的手术方式,术后随访0.5~2年,总结其疗效。结果鼻内镜检查和CT扫描结果显示,35例中鼻中隔高位偏曲8例,中鼻甲肥大9例,中鼻甲气化7例,中鼻甲下部向内偏移5例,筛窦过度气化致中鼻甲内移6例。手术后临床效果:显效32例(91.4%),有效3例(8.6%),总有效率100%。结论鼻内镜下微创手术治疗筛前神经综合征是一种安全、有效的治疗方法。术前须常规行鼻内镜和CT扫描检查。
Objective To investigate the etiology, clinical characteristics and treatment of anterior ethmoidal nerve syndrome. Methods 35 cases of pre-screening neurological syndrome were diagnosed by CT, endoscopy, 1% dexamethasine and 1% ephedrine. According to the different anatomical variations of the patients, the corresponding surgical methods were followed up and the follow-up was 0.5 ~ 2 years, summed up its efficacy. Results Nasal endoscopy and CT scan showed that in 35 cases, the median deviation of middle septum was 8, the middle turbinate hypertrophy was 9, the middle turbinate gasification was 7, the middle inferior turbinate was inwardly displaced in 5, the ethmoid sinus was caused by excessive gasification Middle turbinate medial shift in 6 cases. Clinical effect after operation: 32 cases were markedly effective (91.4%), 3 cases were effective (8.6%), the total effective rate was 100%. Conclusion Endoscopic minimally invasive surgery for the treatment of anterior ethmoidal nerve syndrome is a safe and effective treatment. Preoperative routine nasal endoscopy and CT scan.