经鼻内窥镜蝶腭、筛前神经划痕术治疗常年性变应性鼻炎  

Treatment of perennial allergic rhinitis by sphenopalatine nerve and anterior ethmoidal nerve scarification with nasal endoscope

作　　者：余晓旭[1,2] 王槐富[1,2] 

机构地区：[1]四川省医学科学院 [2]四川省人民医院耳鼻咽喉科,四川成都610072

出　　处：《医学信息（中旬刊）》2010年第9期2305-2306,共2页Medical Information Operations Sciences Fascicule

摘　　要：目的:探讨经鼻内窥镜蝶腭神经与筛前神经划痕术治疗变应性鼻炎的适应症、方法、临床疗效及应用价值。方法:纳入30例常年性变应性鼻炎患者,采用自身左右两侧鼻孔进行对照,观察蝶腭神经与筛前神经划痕术与翼管神经切断术两种方法治疗过敏性鼻炎的临床疗效及应用价值。结果:两种手术疗效相当,两年内均无复发,但蝶腭神经与筛前神经划痕术操作更容易、出血更少、时间更短、术后无眼干的副作用。结论:经鼻内窥镜蝶腭神经与筛前神经划痕术操作更容易,无副作用。Objective：To study the indications,therapeutic effects,adverse reactions and manipulation of sphenopalatine nerve and anterior ethmoidal nerve scarification with nasal endoscope.Method：30 patients of perennial allergic rhinitis were included in this study.The therapeutic effects,adverse reactions,application value of sphenopalatine nerve and anterior ethmoidal nerve scarification were compared with those of vidianneurectomy.These two kinds of operations were carried out in different nosetrils of the same patient.Results：The therapeutic effects of those two treatments are equivalent.No recurrence occurred in two years,but it＇s easy to carry out the sphenopalatine nerve and anterior ethmoidal nerve scarification with no adverse reaction of eye exsiccation and less time and bleeding.Conclusion：It＇s easier to carry out the sphenopalatine nerve and anterior ethmoidal nerve scarification with nasal endoscope,without adverse reactions.

关 键 词：鼻内窥镜 蝶腭神经 筛前神经 翼管神经 变应性鼻炎 

分 类 号：R765.21[医药卫生—耳鼻咽喉科]