西南国防医药2013,Vol.23Issue(2):156-158,3.DOI:10.3969/j.issn.1004-0188.2013.02.016
鼻内镜下两种不同方法治疗变应性鼻炎的疗效对比
Comparison of curative effect between two nasal endoscopic methods on allergic rhinitis
乔富玉 1杨东宝 1肖静 1侯杰1
作者信息
- 1. 408200重庆,重庆市丰都县人民医院耳鼻咽喉科
- 折叠
摘要
Abstract
Objective To discuss the therapeutic effects of nasal endoscopic microwave and hypothermic plasma radiofrequency ablation on allergic rhinitis ( AR ). Methods The thirty eight patients with AR who accepted the treatment by microwave under nasal endoscope were considered as microwave group,and 46 patients with AR who accepted the treatment by hypothermic plasma radiofrequency ablation under nasal endoscope were regarded as radiofrequency group. Comparison was made in postoperative complications, symptom score, and postoperative recurrence between the two groups. Results The symptom scores of the two groups decreased significantly 1 week to 12 months after the operation (P <0.01). Within 3 months after the operation,there was no significant difference in the symptom scores between the two groups ( P > 0. 05 ). In the 6 and 12 month after the operation, that score of the microwave group was higher than that of the radiofrequency group (P < 0.05). The operative time of the microwave group (6.8 ±2.4) min was significantly shorter than that of the radiofrequency group( 12. 6 ±4. 3)min(P <0. 05) . There was no significant difference in the incidence of complications between the two groups (P > 0. 05 ). Within 12 months after the operation, the recurrence rate of the microwave group was 10. 5% , but the radiofrequency group had no recurrence, and there was significant difference between the two groups(χ2= 5. 084, P < 0. 05). Conclusion Both the microwave and hypothermic plasma radiofrequency ablation under nasal endoscope are safe and effective methods for AR. The former has the advantage of simple and time - saving operation, while the latter has better long - term curative effects and lower recurrence rate.
关键词
变应性鼻炎/微波/低温等离子/射频消融/鼻内镜Key words
allergic rhinitis/microwave/hypothermic plasma/radiofrequency current ablation/nasal endoscope分类
医药卫生引用本文复制引用
乔富玉,杨东宝,肖静,侯杰..鼻内镜下两种不同方法治疗变应性鼻炎的疗效对比[J].西南国防医药,2013,23(2):156-158,3.