感染、炎症、修复2025，Vol.26Issue(2)：120-123,4.DOI:10.3969/j.issn.1672-8521.2025.02.010
鼻内镜下鼻甲黏膜下骨质部分切除联合骨折外移术治疗慢性肥厚性鼻炎临床疗效及术后并发症分析
Clinical efficacy and postoperative complications of partial submucosal turbinate bone resection under nasal endoscope combined with fractured-bone removal in treating chronic hypertrophic rhinitis
高金凤 1穆彦丽 1王振华1
作者信息
- 1. 南阳市中心医院耳鼻咽喉科,河南 南阳 473000
- 折叠
摘要
Abstract
Objective:To explore the clinical efficacy of combination of partial submucosal turbinate bone resection under nasal endoscope and fractured-bone removal in the treatment of chronic hypertrophic rhinitis and its influence on postoperative complications.Methods:One hundred and six patients with chronic hypertrophic rhinitis in Nanyang Central Hospital were selected as the research subjects.According to the random number table method,the patients were divided into observation group(53 cases)and control group(53 cases).The patients in the observation group underwent nasal endoscopic partial submucosal turbinate bone resection combined with fractured-bone removal,while the patients in the control group received plasma radiofrequency ablation combined with fractured-bone removal.The clinical efficacy,postoperative complications,nasal cavity volume(NCV),nasal airway resistance(NAR)and nasal mucosal status before surgery and 6 months after surgery were compared between the two groups.Results:There were no obvious differences in clinical effective rate and total incidence rate of complications between the two groups(P＞0.05).Six months after surgery,the nasal minimal cross-sectional area(NMCA)and NCV were significantly increased in the observation group and the control group(P＜0.05),while NAR was significantly decreased(P＜0.05),and the ratio of ciliated cells to goblet cells and mucociliary transport rate(MTR)were significantly enhanced(P＜0.05),and the changes were more obvious in the observation group(P＜0.05).Conclusions:Partial submucosal turbinate bone resection under nasal endoscope combined with fractured-bone removal has a significant therapeutic effect on chronic hypertrophic rhinitis,which has significant improvements on NCV and NAR and small damage to nasal mucosa.关键词
慢性肥厚性鼻炎/骨质切除/鼻腔容积/通气阻力/鼻腔黏膜/等离子射频消融Key words
Chronic hypertrophic rhinitis/Bone resection/Nasal cavity volume/Ventilation resistance/Nasal mucosa/Plasma radiofrequency ablation分类
临床医学引用本文复制引用
高金凤,穆彦丽,王振华..鼻内镜下鼻甲黏膜下骨质部分切除联合骨折外移术治疗慢性肥厚性鼻炎临床疗效及术后并发症分析[J].感染、炎症、修复,2025,26(2):120-123,4.
