慢性肥厚性鼻炎患者的术式选择及应用效果评估  

The selection of surgical and application impact assessment of patients with chronic hypertrophic rhinitis

作　　者：南进军 汪玉 吴春松 周志全 兰冬梅 张艳平 

机构地区：[1]广东省连州市人民医院,广东连州513400

出　　处：《中国医药科学》2014年第13期214-216,共3页China Medicine And Pharmacy

基　　金：广东省清远市科技计划项目(2013B134)

摘　　要：目的：探讨慢性肥厚性鼻炎患者的术式选择及应用效果，为临床制定手术方案提供借鉴资料。方法将我院2013年1月～2014年5月收治的90例慢性肥厚性鼻炎患者随机分两组，A组50例采用鼻内窥镜下下鼻甲黏膜下部分切除术，B组40例采用鼻内窥镜下下鼻甲骨折外移术，并选择我院2010～2012年期间120例传统下鼻甲骨部分切除术治疗的患者作为C组，比较分析3组患者的手术应用效果。结果3组鼻塞症状改善的总有效率为95.2%、86.8%、93.3%，组间差异无统计学意义（P＞0.05）；A、C组的手术时间明显长于B组，C组的术中出血量明显多于A、B组，且C组的住院时间明显长于A、B组，组间差异均有统计学意义（P＜0.05）；A、B组的并发症发生率为2.3%、5.2%，明显低于C组的19.2%，组间差异有统计学意义（P＜0.05）。结论3组手术方案术后改善鼻腔通气均效果良好，但鼻内窥镜下下鼻甲黏膜下切除作为首选手术方案，下鼻甲骨折外移术作为次选手术方案。Objective To investigate the selection of surgical and application impact assessment of patients with chronic hypertrophic rhinitis, and to provide the reference information for clinical surgical planning. Methods From January to August 2013 in our hospital, 55 patients of chronic hypertrophic rhinitis were divided into two groups, 30 cases of group A were used inferior turbinate mucoperiosteal partial resection under nasal endoscope; 25 cases of group B were used inferior turbinate displacement fracture under nasal endoscope, and 120 cases with conventional partial inferior turbinate resection in 2010 - 2012 period of our hospital were selected as group C, the surgical and application impact of three groups were compared and analyzed. Results The nasal symptoms improved overall efficiency of three groups were 95.2%, 86.8%, 93.3%, there were no significant differences（P 〉 0.05）; the operative time of group A and C was significantly longer than group B, the blood loss group of C was significantly more than group A and B, the hospital stay of group C was significantly longer than group A and B, the differences were statistically significant between groups （P 〈 0.05）; the complication rate of group A and B were 2.3% and 5.2%, significantly lower than 19.2% of group C, there were significant differences（P 〈 0.05）. Conclusion The nasal symptoms improved overall efficiency of three groups are good. But inferior turbinate mucoperiosteal partial resection under nasal endoscope is the preferred solution, the inferior turbinate displacement fracture under nasal endoscope is second choice.

关 键 词：慢性肥厚性鼻炎 鼻内窥镜 下鼻甲黏膜下部分切除术 下鼻甲骨折外移术 下鼻甲骨部分切除术 

分 类 号：R762[医药卫生—耳鼻咽喉科]