低温等离子消融术与下鼻甲成形术治疗慢性鼻炎的对比研究  

Comparison of curative effect between coblation inferior turbinate reduction and inferior turbinoplasty in treatment of chronic rhinitis

作　　者：徐文雅[1] 刘婷婷[1] 姜晓丹[1] 党志红[1] 娄帅帅 张念凯[1] 

机构地区：[1]青岛大学医学院附属医院耳鼻咽喉头颈外科,山东青岛266071

出　　处：《山东大学耳鼻喉眼学报》2014年第1期27-30,共4页Journal of Otolaryngology and Ophthalmology of Shandong University

摘　　要：目的通过研究低温等离子消融术与下鼻甲成形术术后患者鼻塞改善情况和对鼻腔黏膜纤毛功能的影响,探讨治疗慢性鼻炎更有效的方法。方法选取慢性鼻炎患者40例,随机分为两组,分别行等离子消融术(A组)与下鼻甲成形术(B组)。术前,术后1周、1个月、3个月分别用VAS评分评价患者鼻腔症状。糖精试验评价术前及术后3个月患者鼻腔黏膜纤毛传送功能。结果等离子组术中出血、手术时间较下鼻甲成形组明显减少,且术后并发症较少;术后3个月两组患者鼻塞均有明显改善;两种手术方式对鼻腔黏膜纤毛功能无影响。结论对单纯黏膜肥厚的慢性鼻炎,等离子消融疗效显著;对鼻甲骨质肥厚或形态异常的慢性鼻炎,下鼻甲成形术效果好。Objective To compare the clinical effect on nasal obstruction and mucociliary function between coblation inferior turbinate reduction （CITR） and inferior turbinoplasty in treatment of chronic rhinitis and to explore which is more effective. Methods Forty patients with chronic rhinitis were randomly divided into two groups： the CITR group and the inferior turbinoplasty group. A standard visual analog scale （VAS） was used to assess the nasal obstruction before the operation, one week, one month and three months after the treatment. A Saccharin test was used to evaluate the nasal mucocilary transportation before and 3 months after the treatment. Results Coblation inferior turbinate reduc- tion resulted in little intra-operative bleeding and duration and few post-operative complications. After 3 months, nasal obstruction was significantly improved in both the coblation and the control groups. The two methods made no differ- ence on nasal mucociliary function. Conclusion For chronic rhinitis, when the pathological changes is simply mucosal hypertrophy, and coblation inferior turbinate reduction is significant in efficiency. When there is turbinate bone hyper- trophy or abnormal morphology, inferior turbinoplasty is better in efficiency.

关 键 词：低温等离子消融术 下鼻甲成形术 慢性鼻炎 鼻腔黏膜纤毛功能 

分 类 号：R765.21[医药卫生—耳鼻咽喉科]