中国中西医结合耳鼻咽喉科杂志
中國中西醫結閤耳鼻嚥喉科雜誌
중국중서의결합이비인후과잡지
Chinese Journal of Otorhinolaryngology In Integrative Medicine
2015年
4期
264-266,257
,共4页
下鼻甲%骨黏骨膜下切除%等离子%消融%鼻阻力检测
下鼻甲%骨黏骨膜下切除%等離子%消融%鼻阻力檢測
하비갑%골점골막하절제%등리자%소융%비조력검측
IInferior Turbinate%Sticky Subperiosteal Resection%Plasma%Ablation%Rhinomanoetry
目的 比较分析针对慢性肥厚性鼻炎两种手术方法在临床应用中的优缺点.方法 将我科自2010年8月~2012年8月收治的138例慢性肥厚性鼻炎患者随机分成2组, 其中A组72例行下鼻甲骨黏膜下部分切除术,B组66例行下鼻甲等离子射频消融术,随访12个月以上,术后3月进行鼻内镜复查,观察两组患者下鼻甲形态改变,分别于术前、术后3个月、12个月运用VAS量表对两组术后临床症状改善进行主观分析,并行鼻阻力测定对两组间疗效进行客观分析.结果 两组手术方式均能够有效改善症状,术后3月下鼻甲体积缩小;无论是VAS量表还是鼻阻力测定,结果均提示两组间近期效果无明显差异(P>0.05),但下鼻甲骨黏膜下切除的患者远期效果要优于等离子消融(P<0.05);结论 下鼻甲骨黏膜下切除术和等离子射频消融术是慢性肥厚性鼻炎有效的治疗方法,前者能更好的保留鼻甲黏膜、腺体、纤毛,避免创面的瘢痕愈合,最大程度上保留鼻功能同时解除鼻阻,远期效果理想,值得临床逐步开展推广,可作为下鼻甲手术的首选.
目的 比較分析針對慢性肥厚性鼻炎兩種手術方法在臨床應用中的優缺點.方法 將我科自2010年8月~2012年8月收治的138例慢性肥厚性鼻炎患者隨機分成2組, 其中A組72例行下鼻甲骨黏膜下部分切除術,B組66例行下鼻甲等離子射頻消融術,隨訪12箇月以上,術後3月進行鼻內鏡複查,觀察兩組患者下鼻甲形態改變,分彆于術前、術後3箇月、12箇月運用VAS量錶對兩組術後臨床癥狀改善進行主觀分析,併行鼻阻力測定對兩組間療效進行客觀分析.結果 兩組手術方式均能夠有效改善癥狀,術後3月下鼻甲體積縮小;無論是VAS量錶還是鼻阻力測定,結果均提示兩組間近期效果無明顯差異(P>0.05),但下鼻甲骨黏膜下切除的患者遠期效果要優于等離子消融(P<0.05);結論 下鼻甲骨黏膜下切除術和等離子射頻消融術是慢性肥厚性鼻炎有效的治療方法,前者能更好的保留鼻甲黏膜、腺體、纖毛,避免創麵的瘢痕愈閤,最大程度上保留鼻功能同時解除鼻阻,遠期效果理想,值得臨床逐步開展推廣,可作為下鼻甲手術的首選.
목적 비교분석침대만성비후성비염량충수술방법재림상응용중적우결점.방법 장아과자2010년8월~2012년8월수치적138례만성비후성비염환자수궤분성2조, 기중A조72례행하비갑골점막하부분절제술,B조66례행하비갑등리자사빈소융술,수방12개월이상,술후3월진행비내경복사,관찰량조환자하비갑형태개변,분별우술전、술후3개월、12개월운용VAS량표대량조술후림상증상개선진행주관분석,병행비조력측정대량조간료효진행객관분석.결과 량조수술방식균능구유효개선증상,술후3월하비갑체적축소;무론시VAS량표환시비조력측정,결과균제시량조간근기효과무명현차이(P>0.05),단하비갑골점막하절제적환자원기효과요우우등리자소융(P<0.05);결론 하비갑골점막하절제술화등리자사빈소융술시만성비후성비염유효적치료방법,전자능경호적보류비갑점막、선체、섬모,피면창면적반흔유합,최대정도상보류비공능동시해제비조,원기효과이상,치득림상축보개전추엄,가작위하비갑수술적수선.
Objective Comparative analysis advantages and disadvantages for chronic hypertrophic rhinitis of two surgical methods. Mothods 138 Chronic hypertrophic rhinitis patients who in our hospital ENT head and neck department Since August 2008 to August 2012 were randomly divided intotwo groups:group A were 72 cases of inferior turbinate sticky subperiosteal resection,and group B were 66 cases of plasma ablation. Follow-up more than 12 months,endoscope to review after 3 months,observing turbinate morphological changes of the two groups,using VAS scale to two groups for subjective analysis of pre-operation,3 months after surgery and 12 months after surgery,and through rhinomanoetry for objective analysis of curative effect between the two groups. Result Two surgical methods can both improve symptoms, after 3 months the inferior turbinate volume shrinking,no matter VAS scale or morphologicalhave shown that short-term effectswerenot significantly different between the two groups (P>0.05), But the group A patients had better effect than the plasma ablation group for long-term (P<0.05). Conclusion Inferior turbinate resection of sticky subperiosteal and plasma ablation are all effective in the treatment of chronic hypertrophic rhinitis.The former can better keep the turbinate mucosa, glands,hair and avoid scar wound healing, which preservating of nasal function maximum, at the same time relieving nasal obstruction, and long-term results are satisfactory. It is worthy of clinical popularization and can be used as the preferred operation of inferior turbinate.
