中国现代医学杂志2017，Vol.27Issue(21)：79-83,5.DOI:10.3969/j.issn.1005-8982.2017.21.015
3种手术方案治疗慢性肥厚性鼻炎临床疗效的对比研究
Comparison of clinical effect among three operation schemes in treatment of chronic hypertrophic rhinitis
罗伟 1文科 1邓玫 1黄朝平1
作者信息
- 1. 成都医学院第一附属医院耳鼻咽喉头颈外科,四川成都610500
- 折叠
摘要
Abstract
Objective To investigate the clinical effect of three schemes of inferior turbinate operation including radiofrequency ablation of inferior turbinate,inferior turbinate resection and radiofrequency ablation of inferior turbinate combined with inferior turbinectomy in the treatment of chronic hypertrophic rhinitis.Methods Totally 300 patients with chronic hypertrophic rhinitis were selected from July 2013 to July 2015 in our hospital and randomly divided into three group:group A (100 patients) with radiofrequency ablation of inferior turbinate,group B (100 patients) with inferior turbinate resection and group C (100 patients) with radiofrequency ablation of inferior turbinate combined with inferior turbinectomy.The short-term clinical effect,the nasal ventilation subjective score in the day-and night-time,the levels of NMCA,DCAN,NCV and NAR before and after surgery and the incidence of adverse effects of the three groups were compared.Results The short-term clinical effects (P＜0.05),the nasal ventilation subjective score in the day-and night-time (P ＜ 0.05),the levels of NMCA,DCAN,NCV and NAR (P ＜ 0.05) of the group B and the group C were significantly better than those of group A and the same groups before surgery.There were no significant differences in the incidence of adverse effect among the three groups (P＞ 0.05).Conclusions Compared with radiofrequency ablation of inferior turbinate,inferior turbinate resection and radiofrequency ablation of inferior turbinate combined with inferior turbinectomy in the treatment of chronic hypertrophic rhinitis are more efficient in maintaining the function of nasal mucosa and gland and relieving nasal obstruction symptoms.关键词
下鼻甲射频消融术/黏膜下部分切除术/下鼻甲射频消融术联合骨折外移术/慢性肥厚性鼻炎Key words
radiofrequency ablation of inferior turbinate/inferior turbinate resection/chronic hypertrophic rhinitis/radiofrequency ablation of inferior turbinate combined with inferior turbinectomy/hypertrophic rhinitis分类
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罗伟,文科,邓玫,黄朝平..3种手术方案治疗慢性肥厚性鼻炎临床疗效的对比研究[J].中国现代医学杂志,2017,27(21):79-83,5.
