摘要
目的 探讨鼻内镜下低温等离子射频消融术治疗慢性肥厚性鼻炎的临床疗效。方法 本研究抽取于2012年3月-2016 年3月到我院耳鼻喉科诊治的慢性肥厚性鼻炎患者53例,所选患者均进行了低温等离子射频消融手术。术前和术 后6个月进行下鼻甲病变评分、VAS评分和糖精试验。结果 术后下鼻甲病变评分(1.09±0.29)明显低于术前 (2.83±0.38),术后VAS评分(3.09±0.68)明显低于术前(8.04±0.55),两者比较差异均具有统计学意义(P <0.05);鼻腔粘膜纤毛运动速率术前为(7.07±0.64)mm/min,术后为(6.99±0.74)mm/min,两者比较差异无 统计学意义(P>0.05)。结论 低温等离子射频消融术治疗慢性肥厚性鼻炎安全、出血少、创面恢复快、能较好地 保护鼻腔粘膜的生理功能、疗效显著,值得临床推广应用。
Objective To investigate the clinical effect of low temperature plasma radiofrequency ablation in the treatment of chronic hypertrophic rhinitis. Methods 53 cases of patients with chronic hypertrophic rhinitis treated in our hospital from March 2012 to March 2016 were selected. The patients were treated with radiofrequency ablation for low temperature plasma radiofrequency ablation. Inferior turbinate lesions score, VAS score and saccharin test 6 months before and after surgery. Results Postoperative inferior turbinate lesions score (1.09+0.29) was significantly lower than that before operation (2.83+0.38), postoperative VAS score (3.09+0.68) was significantly lower than that before operation (8.04+0.55), there was significant difference between two groups (P<0.05), nasal mucosa cilia movement rate before operation for (7.07+0.64) mm/min after surgery (6.99+0.74) mm/min, there was no significant difference (P>0.05). Conclusion Low temperature plasma radiofrequency ablation in the treatment of chronic hypertrophic rhinitis, less bleeding, rapid recovery of the wound surface, can better protect the physiological function of the nasal mucosa, the curative effect is remarkable, it is worthy of clinical application.
【关键词】鼻内镜;低温等离子射频消融术;慢性肥厚性鼻炎;临床疗效
【中图分类号】R765.21
【文献标识码】A
【DOI】10.3969/j.issn.1009-3257.2017.02.008
前言
慢性肥厚性鼻炎在耳鼻喉科中发病率较高,其主 要是由于鼻甲肥大引起呼吸系统的相应症状,对患者 的日常生活影响较大[1-2]。通常药物保守治疗和传统 手术治疗并无良好效果,且经传统手术治疗的患者痛 苦大、出血多、并发症较多,故现已逐渐被低温等离 子射频消融术所代替[3]。本研究抽取于我院耳鼻喉科 诊治的慢性肥厚性鼻炎患者53例,观察和研究实施鼻 内镜下低温等离子射频消融技术进行慢性肥厚性鼻炎 的治疗,根据研究数据分析报告如下。
罕少疾病杂志
第24卷, 第 2 期
2019年11月
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