鼻源性接触点性头痛的内镜手术治疗：系统评价与荟萃分析
Endoscopic surgical treatment for rhinogenic contact point headache: systematic review and meta-analysis.
作者信息
Maniaci Antonino, Merlino Federico, Cocuzza Salvatore, Iannella Giannicola, Vicini Claudio, Cammaroto Giovanni, Lechien Jérome R, Calvo-Henriquez Christian, La Mantia Ignazio
机构信息
Department of Medical and Surgical Sciences and Advanced Technologies "GF Ingrassia", ENT Section, ENT Department of University of Catania, Via Santa Sofia, 95100, Catania, Italy.
Department of 'Organi Di Senso', University "Sapienza", Rome, Italy.
出版信息
Eur Arch Otorhinolaryngol. 2021 Jun;278(6):1743-1753. doi: 10.1007/s00405-021-06724-6. Epub 2021 Mar 6.
PURPOSE
This meta-analysis study was designed to analyze endoscopic surgery's role in treating rhinogenic contact point headache.
METHODS
We performed a comprehensive review of the last 20 years' English language regarding Rhinogenic contact point headache and endoscopic surgery. We included the analysis papers reporting post-operative outcomes through the Visual Analogue Scale or the Migraine Disability Assessment scale.
RESULTS
We provided 18 articles for a total of 978 RCPH patients. While 777 (81.1%) subjects underwent functional nasal surgery for RCPH, 201 patients (20.9%) were medically treated. A significant decrease from the VAS score of 7.3 ± 1.5 to 2.7 ± 1.8 was recorded (p < 0.0001). At quantitative analysis on 660 patients (11 papers), surgical treatment demonstrated significantly better post-operative scores than medical (p < 0.0001).
CONCLUSION
At comparison, surgical treatment in patients with rhinogenic contact points exhibited significantly better values at short-term, medium-term, and long term follow up. Endoscopic surgery should be proposed as the choice method in approaching the symptomatic patient.
目的
本荟萃分析旨在分析内镜手术在治疗鼻源性接触点头痛中的作用。
方法
我们对过去20年有关鼻源性接触点头痛和内镜手术的英文文献进行了全面综述。我们纳入了通过视觉模拟量表或偏头痛残疾评估量表报告术后结果的分析论文。
结果
我们提供了18篇文章，共涉及978例鼻源性接触点头痛患者。其中777例（81.1%）受试者接受了针对鼻源性接触点头痛的功能性鼻腔手术，201例（20.9%）患者接受了药物治疗。记录到视觉模拟量表评分从7.3±1.5显著降至2.7±1.8（p<0.0001）。对660例患者（11篇论文）进行定量分析时，手术治疗的术后评分显著优于药物治疗（p<0.0001）。
结论
相比之下，鼻源性接触点患者的手术治疗在短期、中期和长期随访中表现出显著更好的效果。对于有症状的患者，应建议将内镜手术作为首选治疗方法。
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