CAJ | 학술논문

目的：比较聚焦超声与微波凝固治疗慢性肥厚性鼻炎的临床疗效及安全性。方法120例慢性肥厚性鼻炎按1︰1比例随机分配到聚焦超声组( A组)和微波凝固治疗组( B组),每组各60例。 A组采用聚焦超声治疗,B组采用微波凝固治疗,观察和比较两组患者临床疗效,视觉模拟量表( VAS)评分及术后并发症情况。结果聚焦超声组( A组)有效率为91．67%；微波治疗组(B组)有效率为76．67%。两组有效率差异有统计学意义(P<0．05)；A组并发症发生率明显低于对照组,差异有统计学意义(P<0.05)。结论鼻内镜下采用聚焦超声治疗慢性肥厚性鼻炎临床效果好,安全微创,并发症少,近期效果优于微波凝固治疗组,值得推广。
목적：비교취초초성여미파응고치료만성비후성비염적림상료효급안전성。방법120례만성비후성비염안1︰1비례수궤분배도취초초성조( A조)화미파응고치료조( B조),매조각60례。 A조채용취초초성치료,B조채용미파응고치료,관찰화비교량조환자림상료효,시각모의량표( VAS)평분급술후병발증정황。결과취초초성조( A조)유효솔위91．67%；미파치료조(B조)유효솔위76．67%。량조유효솔차이유통계학의의(P<0．05)；A조병발증발생솔명현저우대조조,차이유통계학의의(P<0.05)。결론비내경하채용취초초성치료만성비후성비염림상효과호,안전미창,병발증소,근기효과우우미파응고치료조,치득추엄。
Objective To compare the curative effects and safety of focused ultrasound and microwave coagulation in trea-ting chronic hypertrophic rhinitis. Methods One hundred and twenty patients with chronic hypertrophic rhinitis were enrolled ran-domizelly to the ultrasound therapeutic group(group A, n=60)and microwave coagulation therapy group(group B, n=60). The therapeutic effect, pain visual analogue scores( VAS) , postoperative complications was compared between the two groups. Results There were significant difference in the therapeutic effects between the two groups(91. 67% vs. 76. 67%, P<0. 05). And the complication rate was significantly lower in group A. Conclusion The focused ultrasound was more convenient, safe, effective in treating chronic hypertrophic rhinitis with less complications. It’s worthy to be recommended for clinical application.