3种手术方案治疗慢性肥厚性鼻炎临床疗效的对比研究

发布时间：2018-07-12 13:37

本文选题：下鼻甲射频消融术 + 黏膜下部分切除术　；参考：《中国现代医学杂志》2017年21期

【摘要】：目的探讨下鼻甲射频消融术、黏膜下部分切除术及下鼻甲射频消融术联合骨折外移术治疗慢性肥厚性鼻炎临床疗效差异。方法选取慢性肥厚性鼻炎患者共300例,随机分为A、B及C组,每组100例。分别采用鼻甲射频消融术、黏膜下部分切除术及下鼻甲射频消融术联合骨折外移术;比较3组患者临床疗效和安全性。结果 B组和C组患者近期疗效、术后白天和夜间鼻通气主观评分,双侧鼻腔最小横截面积(NMCA)、鼻腔容积(NCV)、鼻气道阻力(NAR)及鼻腔最小横截面积到前鼻孔的距离(DCAN)水平等均优于A组及同组术前(P0.05);3组患者不良反应发生率比较差异无统计学意义(P0.05)。结论黏膜下部分切除术与下鼻甲射频消融联合骨折外移术治疗慢性肥厚性鼻炎在保留鼻腔黏膜及腺体正常生理功能,缓解鼻部堵塞症状方面效果优于下鼻甲射频消融术。
[Abstract]:Objective to investigate the clinical effects of radiofrequency ablation of inferior turbinate, partial submucosal resection and radiofrequency ablation of inferior turbinate combined with fracture migration in the treatment of chronic hypertrophic rhinitis. Methods 300 patients with chronic hypertrophic rhinitis were randomly divided into two groups: group A (n = 100) and group C (n = 100). Radiofrequency ablation of turbinate, partial submucosal resection and radiofrequency ablation of inferior turbinate combined with fracture removal were used to compare the clinical efficacy and safety of the three groups. Results the short-term curative effect of patients in group B and group C, subjective score of nasal ventilation during day and night after operation, The minimal cross sectional area (NMCA), nasal volume (nCV), nasal airway resistance (NAR) and the distance from nasal cavity to anterior nostril (DCAN) in bilateral nasal cavity were significantly higher than those in group A and group A (P0.05). Conclusion partial submucosal resection combined with radiofrequency ablation of inferior turbinate combined with external removal of fracture in the treatment of chronic hypertrophic rhinitis is more effective than radiofrequency ablation of inferior turbinate in preserving normal physiological function of nasal mucosa and glands and relieving nasal clogging symptoms.
【作者单位】：成都医学院第一附属医院耳鼻咽喉头颈外科;
【分类号】：R765.9

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