摘要
目的：比较三种下鼻甲手术方式的疗效,选择适当的治疗慢性肥厚性鼻炎的方法。方法：将114例患者随机分为三组,分别行下鼻甲部分切除术（43例A组）、下鼻甲骨折外移术（36例B组）及低温等离子射频消融术（35例C组）,术后随访1~6月。VAS评分法评价鼻堵程度。结果：治疗前后VAS统计学差异显著,经检验B组与A、C组疗效差异有统计学意义（P〈0.01）。C组方法治疗方便、手术操作简便,痛苦小、出血少、恢复快,解除鼻塞效果明显。结论：低温等离子射频消融术治疗慢性肥厚性鼻炎疗效确切,并且保护了鼻粘膜的完整性,保存了下鼻甲的生理功能,是一种理想的下鼻甲手术方式。
Objective：To Compared with three operation kind of inferior turbinectomy,choice the best way of inferior turbinectomy to treatment chronic hypertrophic rhinitis.Methods：Stochastically divides into three groups among 114 patients,43 cases were treated by partial inferior turbinectomy（group A）,36 cases by outfrracture inferior turbinectomy（group B）,35 cases-were treated by plasma radiofrequency ablation on inferior turbinate.（group C）.The nasal obstruction was investigated by（visual analogue scale） VAS scores.Results：All patients observe nasal obstruction and mucosa after treatment for 1 month～6 months,The VAS scores of nasal obstruation of patents were decreased significantly after operation.while group A,C and group B effective rate had significant difference among them（P〈0.01）.Group C was convenient and simple,little bleeding,release nasal obstruction is very effective.Conclusion：plasma radiofrequency ablation on inferior turbinate for treatment of chornic hypertrophy rhinitis are effective modality,and has defended the nose mucous membrane integrity,has preserved the physiological function of Inferior turbinate,is promising method for treatment of inferior turbinate hypert rophy.
出处
《华西医学》
CAS
2008年第4期847-848,共2页
West China Medical Journal
关键词
下鼻甲
鼻炎
肥厚性
手术
inferior turbinate
rhinitis,hypertrophic
surgery
