低温等离子射频消融在鼻部手术治疗中临床应用  

Clinical application of low-temperature radiofrequency in the treatment of nasal surgery

作　　者：毛红明 阮仕斌 

机构地区：[1]攀钢总医院,四川攀枝花617023

出　　处：《中外医学研究》2011年第26期14-15,共2页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的探讨安全、有效的鼻部疾病手术治疗方法。方法将2007年1月～2011年1月笔者所在科室收治的138例鼻部手术患者分为使用低温等离子射频消融治疗组和对照组,手术患者为鼻甲肥大或伴有鼻甲肥大患者,患者在手术中处理鼻甲肥大时治疗组使用低温等离子射频消融,对照组采用常规的冷冻、激光、微波、电灼、下鼻甲部分切除术等,治疗组62例,对照组76例,将相关资料进行分析。结果低温等离子射频消融组和对照组症状和体征改善总有效率分别是100.0%和86.8%,两组并发症,低温等离子射频消融有2例发生鼻腔粘连,分离后1周愈合,对照组有8例发生鼻腔粘连,分离后1周愈合,10例发生萎缩性鼻炎,而使用低温等离子射频消融无萎缩性鼻炎发生。治疗组鼻部症状改善(流脓涕、鼻塞、头痛)有效率100%,并发症发生率(鼻腔粘连2例)3.2%(2/62),对照组鼻部症状改善(流脓涕、鼻塞、头痛)有效率86.8%(66/76),并发症发生率(鼻腔粘连8例、鼻甲萎缩10例)23.7%(18/76),两组比较差异有统计学意义(P<0.05)。结论等离子射频消融在鼻部手术治疗中应用疗效显著,安全可靠,并发症少,符合功能性微创外科要求。Objective To explore the safe and effective surgical treatment of nasal disease.Methods From January 2007 to January 2011 our department were treated with nasal surgery,patients were divided into low-temperature applications such as radiofrequency ablation group and the control group,turbinate hypertrophy,or surgical patients is associated with turbinate hypertrophy patients,patients in the surgical treatment turbinate hypertrophy application group using the low-temperature radiofrequency ablation in the control group using conventional freezing,laser,microwave,electrocautery,part of the inferior turbinate resection,etc.The application of 62 patients in the control group 76 cases,the relevant data for analysis.Results Low-temperature radiofrequency ablation and the control group of symptoms and signs improve the overall efficiency is 100.0%,respectively,and 86.8%,two complications,low-temperature radiofrequency ablation of nasal adhesions occurred in 2 patients,1 week after healing the separation,the control group,8 patients had nasal adhesions,separation of healing after 1 week,10 cases of atrophic rhinitis.The use of low-temperature radiofrequency ablation without atrophic rhinitis occurred.Application group to improve nasal symptoms（purulent nasal discharge flow,nasal congestion,headache）,efficiency 100%,the incidence of complications（nasal adhesions 2 cases） 3.2%（2 /62）,the control group improved nasal symptoms（purulent nasal discharge flow,nasal congestion,headache） efficiency 86.8%（66/76）,morbidity（nasal adhesions in 8 cases,turbinate atrophy 10） 23.7%（18/76）,the two groups was statistically significant（P 0.05）.Conclusion Radiofrequency ablation in surgical treatment of nasal application of a significant effect,safe and reliable,with few complications,minimally invasive surgery in line with functional requirements.

关 键 词：等离子低温射频消融 鼻手术 

分 类 号：R765.9[医药卫生—耳鼻咽喉科]