联合手术治疗34例严重的持续性变应性鼻炎的疗效观察

发布时间：2018-03-02 09:05

本文关键词： 变应性鼻炎鼻中隔偏曲下鼻甲肥大手术　出处：《大连医科大学》2011年硕士论文　论文类型：学位论文

【摘要】：目的:探讨联合手术治疗严重的持续性变应性鼻炎的疗效。方法:对34例严重的持续性变应性鼻炎患者采用鼻中隔粘膜剥离或鼻中隔粘膜下矫正、前组筛房开放、下鼻甲部分切除的联合手术方法,所有病例均随访12个月,记录术后鼻部症状和体征的改善情况,并对术前及术后3个月、6个月、12个月的疗效采用两种方法进行总体症状的评估以及分类症状的评估。结果:采用2004年兰州《变应性鼻炎的诊治原则和推荐》标准评估,术后3个月时显效率76.5%(26/34),有效率17.7%(6/34),无效率5.9%(2/34);术后6个月时显效率67.6%(23/34),有效率26.5%(9/34),无效率5.9%(2/34),术后12月时显效率64.7%(22/34),有效率23.5%(8/34),无效率11.8%(4/34)。术后3个月、术后6个月,术后12个月的总的有效率分别为94.2%、94.2%、88.2%。采用视觉模拟评分法评估,本组病例术后3个月、术后6个月、术后12个月与术前的总体症状及分类症状相比,差异均P0.05,差异具有统计学意义。结论:1、联合手术是药物治疗无效的变应性鼻炎的一种有效的治疗方式。 2、在严格掌握手术适应症的前提下,鼻中隔粘膜分离或鼻中隔粘膜下矫正术,前组筛房开放,下鼻甲部分切除的联合手术方式取得显著的近期疗效。 3、本手术方法简单,在局部麻醉下进行,不需特殊的设备,有一定临床经验的医生即可施行,不需特殊的人员培训,可广泛地开展。 4、病人依从性好,无需长期随诊。
[Abstract]:Objective: to investigate the effect of combined operation on severe persistent allergic rhinitis. Methods: 34 patients with severe persistent allergic rhinitis were treated with combined operation of nasal septum mucosa dissection or submucosal correction, anterior ethmoid chamber opened and partial inferior turbinate resected. All patients were followed up for 12 months. The improvement of nasal symptoms and signs were recorded, and the overall symptoms and classified symptoms were evaluated by two methods before operation and 3 months, 6 months and 12 months after operation. Results: the criteria for diagnosis and treatment of allergic rhinitis in Lanzhou on 2004 were evaluated. At the third month after surgery, the effective rate was 76.5B / 26 / 34, the effective rate was 17.775 / 34, and the effective rate was 5.93.34%, and the inefficiency was 5.93.34%; at the sixth month after the operation, the significant efficiency was 67.66% / 34%, and the effective rate was 26.5m / 934%, and the inefficiency was 5.9% / 34%, and on December, the apparent efficiency was 64.775% 2234%, and the effective rate was 23.585% / 34%, and the inefficiency was 11.88.434%. Three months after surgery, six months after the operation, six months after surgery, the effective rate was 64.722% 34%, and the effective rate was 23.585% / 34%, 11.88% -434%. The total effective rate of 12 months after operation was 94.2 and 94.2respectively. The visual analogue scoring method was used to evaluate the overall symptoms and classification symptoms of the patients at 3 months, 6 months and 12 months after operation respectively. The difference was all P 0.05, the difference was statistically significant. Conclusion: combined surgery is an effective treatment for ineffective allergic rhinitis. 2. On the premise of strict indication of operation, the combined operation of nasal septum mucosa separation or submucosal correction of nasal septum, the opening of anterior ethmoid chamber and partial resection of inferior turbinate achieved significant short-term results. 3. The operation method is simple and can be carried out by doctors with certain clinical experience without special equipment under local anesthesia, and can be widely carried out without special training of personnel. 4, patient compliance is good, do not need to follow up for a long time.
【学位授予单位】：大连医科大学
【学位级别】：硕士
【学位授予年份】：2011
【分类号】：R765.9

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