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鼻源性接触性头痛的手术治疗效果。

Surgical outcomes for rhinogenic contact point headaches.

机构信息

Department of Otolaryngology, School of Medicine, Karadeniz Technical University, Trabzon, Turkey.

出版信息

Med Princ Pract. 2011;20(1):29-33. doi: 10.1159/000322076. Epub 2010 Dec 13.

Abstract

OBJECTIVE

To evaluate the surgical outcome in patients diagnosed as having rhinogenic contact point headaches (RCPH).

SUBJECTS AND METHODS

Thirty-six patients (aged 17-58 years) with RCPH underwent mini functional endoscopic sinus surgery procedures. Patients' pain complaints were evaluated with a visual analog scale (VAS) both pre- and postoperatively.

RESULTS

All patients reported a decrease in the intensity of pain postoperatively. Nineteen patients (52.7%) reported complete relief. The difference between the preoperative (mean 8.62) and postoperative VAS pain scores (mean 2.11) was statistically very significant (p = 0.0000). No major complications were encountered.

CONCLUSION

The removal of contact points in patients with RCPH is very effective in carefully selected patients.

摘要

目的

评估诊断为鼻源性接触性头痛(RCPH)患者的手术效果。

对象和方法

36 名 RCPH 患者(年龄 17-58 岁)接受了微创功能性鼻窦手术。患者的疼痛主诉通过视觉模拟量表(VAS)在术前和术后进行评估。

结果

所有患者报告术后疼痛强度均降低。19 名患者(52.7%)报告完全缓解。术前 VAS 疼痛评分(平均 8.62)和术后 VAS 疼痛评分(平均 2.11)之间的差异具有统计学意义(p=0.0000)。未发生重大并发症。

结论

在精心挑选的患者中,去除 RCPH 患者的接触点非常有效。

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