CAJ | 학술논문

目的：探讨改良下鼻甲成形术治疗慢性肥厚性鼻炎患者的临床疗效及手术技巧。方法76例不伴有显著黏膜肥厚的慢性肥厚性鼻炎患者随机分组，38例行鼻内镜改良下鼻甲成形术（A组），38例行下鼻甲骨折外移术（B组），比较两组治疗下鼻甲肥大的疗效。结果两组组内术前与术后比较，鼻阻力值及VAS评分均显著降低（P＜0.05）；两组间术前与术后1个月时鼻阻力及VAS评分比较差异无统计学意义（P＞0.05），而术后1年时差异有统计学意义（P＜0.05）；A组组内比较术后近、远期疗效差异无统计学意义（P＞0.05），B组组内比较术后近、远期疗效差异有统计学意义（P＜0.05）。结论改良下鼻甲成形术是改善不伴有显著黏膜肥厚的慢性肥厚性鼻炎患者鼻塞的有效方法，近、远期疗效都比较理想，值得临床推广。
목적：탐토개량하비갑성형술치료만성비후성비염환자적림상료효급수술기교。방법76례불반유현저점막비후적만성비후성비염환자수궤분조，38례행비내경개량하비갑성형술（A조），38례행하비갑골절외이술（B조），비교량조치료하비갑비대적료효。결과량조조내술전여술후비교，비조력치급VAS평분균현저강저（P＜0.05）；량조간술전여술후1개월시비조력급VAS평분비교차이무통계학의의（P＞0.05），이술후1년시차이유통계학의의（P＜0.05）；A조조내비교술후근、원기료효차이무통계학의의（P＞0.05），B조조내비교술후근、원기료효차이유통계학의의（P＜0.05）。결론개량하비갑성형술시개선불반유현저점막비후적만성비후성비염환자비새적유효방법，근、원기료효도비교이상，치득림상추엄。
Objective To investigate the effectiveness and operation skills in improved plasty of inferior turbinate in treatment of chronic hypertrophic rhinitis. Methods Totally 76 cases of chronic hypertrophic rhinitis patients without significant mucosa hypertrophy were grouped randomly, 38 cases of group A were treated by improved plasty of inferior turbinate, 38 cases of group B using inferior turbinate displacement fracture. Results Two groups in preoperative and postoperative nasal resistance value and VAS scores were significantly lower (P<0.05); There was no statistical significance between the two groups in comparing preoperative and postoperative 1 month nasal resistance value and VAS scores (P>0.05), but it was statistical significance after postoperative 1 year (P<0.05); There was no significant difference in recent and forward curative effect of group A(P>0.05), but group B was statistical significance (P<0.05). Conclusions The improved plasty of inferior turbinate is effective to improve chronic hypertrophic rhinitis patients without significant mucosa hypertrophy, and the recent and forward curative effect were ideal for promotion.