低温等离子下双下甲射频消融术的临床研究  

Clinical study on radiofrequency ablation of double inferior turbinate under low temperature plasma

作　　者：王荣霞[1] 尹会文 王秋菊 刘文霞[1] WANG Rongxia;YIN Huiwen;WANG Qiuju(Department of Otorhinolaryngology,The Second People’s Hospital of Hengshui City,Hebei,Hengshui 053000,China;不详)

机构地区：[1]河北省衡水市第二人民医院耳鼻喉科,053000 [2]河北省衡水市第二人民医院儿科,053000

出　　处：《河北医药》2021年第4期527-530,535,共5页Hebei Medical Journal

摘　　要：目的观察低温等离子下双下甲射频消融术的临床研究分析。方法将2019年3月至2020年3月收治的鼾症及慢性鼻炎、鼻窦炎患者200例随机分为对照组与试验组,每组100例,分别使用传统手术方法与低温等离子下鼻甲射频消融术进行治疗,术后进行随访0.5~1年。比较2组患者围手术期情况(手术时间的长短,术中出血情况;术后鼻腔是否填塞),术后术中患者疼痛情况,住院天数、住院费用;围手术期与术后并发症情况;术前、术后生活质量评分与鼻腔鼻窦结局测试量表;术后及随访期间鼻腔功能恢复情况,进行医学统计学分析。结果试验组患者手术时间明显短于对照组患者,术中出血量明显少于对照组患者,且试验组鼻腔填塞率为0明显少于对照组的46.00%,差异均有统计学意义(P<0.01)。术后术中患者疼痛VAS评分明显少于对照组,住院天数短于对照组患者,且住院费用低于对照组患者,差异均有统计学意义(P<0.01)。试验组患者围术期及术后的并发症发生率为4.00%,对照组为17.00%,试验组患者术后并发症发生率低于对照组(P<0.05)。2组患者治疗前WHOQOL-BREF评分差异无统计学意义(P>0.05)。治疗后2组患者WHOQOL-BREF评分明显升高,其中试验组患者的WHOQOL-BREF各项评分明显高于对照组,差异有统计学意义(P<0.01)。术后1年试验组患者鼻腔功能恢复总有效率为75.00%明显高于对照组的53.00%,差异有统计学意义(P<0.01)。结论在鼾症及慢性鼻炎、鼻窦炎患者的治疗中,采取低温等离子下双下甲射频消融术治疗,较传统手术而言,可明显的缩短患者手术时间,减少术中出血量,降低术后鼻腔填塞造成的不适感,减轻术中术后疼痛,减少术后并发症的发生,缩短住院天数,减少住院费用,有效的改善生活质量,并提升患者术后及随访期间的临床治疗效果。Objective To investigate the radiofrequency ablation of double inferior turbinate under low temperature plasma.Methods A total of 200 patients with snoring,chronic rhinitis and sinusitis who were admitted and treated in our hospital from March 2019 to March 2020 were randomly divided into control group and experimental group,with 100 cases in each group.The patients in control group were treated by traditional surgery,however,the patients in experimental group were treated by radiofrequency ablation of double inferior turbinate under low temperature plasma,with 0.5~1-year follow up.The perioperative conditions(operation time,intraoperative bleeding,whether nasal cavity was filled after operation),postoperative pain,hospitalization days,hospitalization expenses,perioperative and postoperative complications,life quality score and nasal cavity and sinus outcome test scale,recovery of nasal function were observed and compared between the two groups.Results The operation time,the intraoperative blood loss and the nasal packing rate in experimental group were significantly less than those in control group(P<0.01).The VAS scores of postoperative pain in experimental group were significantly lower than those in control group,moreover,the length of hospital stay and hospitalization cost in experimental group were significantly less than those in control group(P<0.01).Moreover the incidence rate of perioperative and postoperative complications in experimental group was 4%,which was significantly lower than that(17.00%)in control group(P<0.05).Before treatment there were no significant differences in the WHOQOL-BREF scores between the two groups(P>0.05).After treatment,the WHOQOL-BREF scores in both groups were significantly increased,moreover,which in experimental group were significantly higher than those in control group(P<0.01).In addition at 1 year after operation,the total effective rate in experimental group was 75.00%,which was significantly higher than that(53.00%)in control group(P<0.01).Conclusion The radiofreque

关 键 词：低温 等离子 双下甲 射频消融 

分 类 号：R765[医药卫生—耳鼻咽喉科]