鼻内镜下手术治疗变应性鼻炎伴鼻中隔偏曲疗效观察  

Clinical effect of operation for allergic rhinitis with septum-deviation

作　　者：张田[1] 陈剑秋[1] 林家峰[1] 李跟红[1] 叶犇[1] 贺祯[1] 赵秀娟[1] 王慧丽 朱春生[1] 

机构地区：[1]济南军区总医院耳鼻咽喉头颈外科,济南250031 [2]乐陵市中医院耳鼻喉科,山东乐陵253600

出　　处：《山东大学耳鼻喉眼学报》2013年第3期27-29,共3页Journal of Otolaryngology and Ophthalmology of Shandong University

摘　　要：目的探讨手术治疗持续性变应性鼻炎伴鼻中隔偏曲的临床疗效。方法将132例患者随机分成A、B、C组,分别采用药物治疗、鼻中隔偏曲矫正术、鼻中隔偏曲矫正联合下鼻甲黏骨膜下切除或下鼻甲骨折外移术,治疗后定期随访,观察3组临床疗效。结果 A、B、C组患者治疗后3个月总有效率分别是86.36%、93.18%、100%,6个月总有效率分别为68.18%、86.36%、97.73%,1年总有效率分别为43.18%、81.82%、95.45%。结论与药物治疗相比,鼻内镜下手术治疗伴鼻中隔偏曲的持续性变应性鼻炎疗效较好,鼻内镜下鼻中隔偏曲矫正联合下鼻甲黏骨膜下切除或下鼻甲骨折外移则可获取更满意的疗效。Objective To investigate the effect of nasal endoscopic operation on persistent allergic rhinitis with septum deviation. Methods According to the symptoms, sinus CT and examination result of the nasal cavity, 132 patients with persistent allergic rhinitis with septumdeviation were randomly divided into A, B and C groups separately using drug therapy, endoscopic nasal septal reconstruction and endoscopic nasal septal reconstruction and inferior turbinate angio plasty. Results After a follow-up of 3 months, the total effect rates of the three groups respectively were 86.36%, 93.18% and 100%. After a follow-up of 6 months, they were 68.18%, 86.36% and 97.73%, respectively. After a follow-up of 1 year, they were 43.18%, 81.82% and 95.45%, respectively. Conclusion Comparing with drug ther apy, nasal endoscopic operation is better for persistent allergic rhinitis with septum deviation. Endoscopic nasal septal reconstruction and inferior turbinate angioplasty or inferior turbinate lateral fracture can obtain a more satisfactory long term curative effect.

关 键 词：持续性变应性鼻炎 外科手术 鼻中隔偏曲 

分 类 号：R765.21[医药卫生—耳鼻咽喉科] R765.9[医药卫生—临床医学]