鼻内窥镜下下鼻甲部分切除术的疗效  

Curative effect of nasal endoscopic partial inferior turbinectomy

作　　者：张敏 王永良 

机构地区：[1]辽宁阜新矿业集团有限责任公司总医院耳鼻喉科,辽宁阜新123000

出　　处：《中国医药导报》2015年第8期169-172,共4页China Medical Herald

摘　　要：目的探讨鼻内窥镜下下鼻甲部分切除术的疗效,为临床制订手术方案提供借鉴。方法回顾性分析2011年1月-2012年6月辽宁阜新矿业集团有限责任公司总医院耳鼻喉科收治的150例慢性肥厚性鼻炎患者临床资料,按手术方式分为鼻内窥镜下下鼻甲黏膜下部分切除术组（A组）、鼻内窥镜下下鼻甲骨折外移术组（B组）、传统下鼻甲骨部分切除术组（C组）,每组各50例。观察三组患者手术时间、术中出血量、住院时间及术后并发症,并比较分析三组患者术后近期疗效、远期疗效及总有效率。结果 B组的手术时间明显短于A、C组,差异均有统计学意义（P〈0.05）,而A、C两组手术时间比较,差异无统计学意义（P〉0.05）。三组患者术中出血量、住院时间比较,C组明显高于A、B两组,组间差异有统计学意义（P〈0.05）。术后两个月观察A、B、C三组患者的近期疗效,分别为92.0%、92.0%、90.0%,组间差异无统计学意义（P〉0.05）。术后两年复查,A、B、C三组患者远期总有效率分别为94.0%、92.0%、80.0%,C组远期疗效明显低于A组、B组,差异有统计学意义（P〈0.05）。A、B两组组患者远期总有效率差异无统计学意义（P〉0.05）。A、B、C组三组的术后并发症发生率分别为2.0%、4.0%、20.0%,A、B组明显低于C组,组间差异有统计学意义（P〈0.05）。结论鼻内窥镜下下鼻甲黏膜下部分切除术、鼻内窥镜下下鼻甲骨折外移术与传统下鼻甲骨部分切除术3种方法治疗慢性肥厚性鼻炎均有疗效,但鼻内窥镜下下鼻甲黏膜下切除术治疗慢性肥厚性鼻炎远期疗效优于传统下鼻甲骨部分切除术,安全可靠,值得临床推广。Objective To investigate the curative effect of nasal endoscopic partial inferior turbinectomy treating patients with chronic hypertrophic rhinitis, and provide the reference information for clinical surgical planning. Methods From January 2011 to June 2012, in Department of Ear-Nose-Throat, General Hospital of Fuxin Mining Industry Group Co., LTD., the clinical data of 150 patients with chronic hypertrophic rhinitis were selected. According to the operation mode,the patients were divided into endoscopic submucosal partial resection of the inferior turbinate group（group A）,nasal endoscopic surgery group shift inferior turbinate fracture microscopic outside（group B）, and traditional partial inferior turbinate resection group（group C）, 50 cases in each group. The operation time, intraoperative bleeding, hospitalization time and postoperative complications of three groups of patients were observed, and the postoperative long-term curative effect, and the postoperative short-term curative effect, and the total efficiency of three groups were analyzed.Results Operation time of group B was significantly shorter than group A and group C, the difference was statistically significant（P〈0.05）. There was no significant difference for operation times of group A and group C（P〉0.05）. The amount of bleeding during operation and hospitalization time of group C, were more than those of group A and group B,the differences between groups were statistically significant（P〈0.05）. After surgery two months, the curative effect of A, B, C three groups respectively were 92.0%, 92.0%, 90.0%, with no significant difference between groups（P〈0.05）.After the surgery two years, long-term total effective rate of A, B, C three groups were 94.0%, 92.0%, 80.0%, longterm therapeutic effect rate of Group C was significantly lower than Group A and Group B, with significant difference（P〈0.05）. There was no statistically significant difference in long-term total effective rates of group A and group B patients（

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：R765.9[医药卫生—耳鼻咽喉科]