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下鼻甲去骨及黏膜划痕微创减容术治疗肥厚性鼻炎的临床研究

黄岳 梁冬泳 李趣 何中扬

中国现代手术学杂志2017,Vol.21Issue(1):77-80,4.
中国现代手术学杂志2017,Vol.21Issue(1):77-80,4.DOI:10.16260/j.cnki.1009-2188.2017.01.020

下鼻甲去骨及黏膜划痕微创减容术治疗肥厚性鼻炎的临床研究

Clinical Study of the Minimally Invasive Submucosal Reduction of Lower Turbinates and Mucosal Scratches on the Treatment of Hypertrophic Rhinitis

黄岳 1梁冬泳 1李趣 1何中扬1

作者信息

  • 1. 南宁市第一人民医院耳鼻咽喉头颈外科,南宁530022
  • 折叠

摘要

Abstract

Objective To study the clinical effect of minimally invasive submucosal reduction of lower turbinates and mucosal scratches on the treatment of hypertrophic rhinitis.Methods 120 cases with hypertrophic rhinitis were enrolled in this study.From January 2013 to June 2016,120 patients with hypertrophic rhinitis were randomly divided into two groups.The experimental group (60 cases) underwent lower turbinate osteotomy and mucosal scratches.The control group (60 cases) underwent partial inferior turbinectomy.The clinical results,complication rates,the saccharin test and nasal mucosal cilia functions were compared 6 months after operation.Results The effective rate was 100% in the experimental group and 98.33% in the control group,and the difference was not statistically significant (P > 0.05).The saccharin clearance time(SCT),mucociliary transport rate (MTR) and minimal cross-sectional area (MCA) of the experimental group were significantly improved,comparing with the control group (P < 0.05).The operative time of the experimental group was longer than the control group(P < 0.05).However,the intraoperative hemorrhage,postoperative bleeding time,wound healing time and the complication rate were significantly less in the experimental group(P < 0.05).Conclusion It is effective in improving nasal obstruction and related nasal symptoms of the minimally invasive submucosal reduction of lower turbinates and mucosal scratches.It has the advantages of less complication,quick postoperative recovery and less surgical injury.It is worthy of popularization.

关键词

鼻甲,外科/黏膜划痕/肥厚性鼻炎

Key words

turbinates/surgery/mucosal scratching/hypertrophic rhinitis

分类

医药卫生

引用本文复制引用

黄岳,梁冬泳,李趣,何中扬..下鼻甲去骨及黏膜划痕微创减容术治疗肥厚性鼻炎的临床研究[J].中国现代手术学杂志,2017,21(1):77-80,4.

基金项目

南宁市科学研究与技术开发计划项目(编号:20123130) (编号:20123130)

中国现代手术学杂志

OACSTPCD

1009-2188

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