CAJ | 학술논문

目的探讨鼻内镜下鼻腔多结构矫形术联用类固醇鼻喷剂治疗变应性鼻炎的临床疗效.方法将60例存在鼻中隔偏曲及中、下鼻甲病变的变应性鼻炎患者按随机数字表法分为两组:观察组30例,应用鼻内镜行鼻腔多结构矫形术及围手术期予类固醇鼻喷剂局部用药;对照组30例,只用类固醇鼻喷剂局部用药.将两组远期疗效进行对比.结果随访1年,观察组总有效率为90.0%(27/30),其中显效22例;对照组为36.7%(11/30),其中显效3例.两组总有效率比较差异有统计学意义(P＜0.01).结论经鼻内镜下行鼻腔多结构矫形术联用类固醇鼻喷剂治疗变应性鼻炎具有良好的远期疗效.
목적 탐토비내경하비강다결구교형술련용류고순비분제치료변응성비염적림상료효.방법 장60례존재비중격편곡급중、하비갑병변적변응성비염환자안수궤수자표법분위량조:관찰조30례,응용비내경행비강다결구교형술급위수술기여류고순비분제국부용약;대조조30례,지용류고순비분제국부용약.장량조원기료효진행대비.결과 수방1년,관찰조총유효솔위90.0%(27/30),기중현효22례;대조조위36.7%(11/30),기중현효3례.량조총유효솔비교차이유통계학의의(P＜0.01).결론 경비내경하행비강다결구교형술련용류고순비분제치료변응성비염구유량호적원기료효.
Objective To expore the clinical therapeutic effect of allergic rhinitis using endoscopic more nasal structures orthopedic surgery combined with steroid nasal spray. Methods Sixty allergic rhinitis patients accompanied by deviation of nasal septum, middle turbinate lesions, or/and inferior turbinate lesions, were divided into two groups: observation group with 30 cases, applying endoscopic more nasal structures orthopedic surgery combined with steroid nasal spray (mometasone furoate nasal spray) during perioperative period; control group with 30 patients, only applying steroid nasal spray (mometasone furoate nasal spray). Long-term effect was compared between two groups. Results Sixty cases were followed up for 1 year. The total effective rate was 90.0%(27/30) in observation group,22 cases of significant effect, 36.7% (11/30) in control group,3 cases of significant effect. The total effective rate had significant difference between two groups (P＜0.01). Conclusion Using endoscopic more nasal structures orthopedic surgery combined with steroid nasal spray (mometasone furoate nasal spray) to treat allergic rhinitis has good long-term effect.