鼻内镜下鼻甲减容术联合鼻后神经切断术治疗伴有下鼻甲肥大的变应性鼻炎临床观察  

Clinical observation of nasal endoscopic turbinate volume reduction combined with posterior rhinotomy in the treatment of allergic rhinitis with inferior turbinate hypertrophy

作　　者：房志萌 刘丽庭[2] 董文汇[2] 高岩 FANG Zhimeng;LIU Liting;DONG Wenhui;GAO Yan(Department of Otorhinolaryngology,Weifang Medical University,Weifang 261053,China;Department of Otolaryngology,Weifang People’s Hospital)

机构地区：[1]潍坊医学院耳鼻喉科学教研室,山东潍坊261053 [2]潍坊市人民医院耳鼻喉科

出　　处：《潍坊医学院学报》2021年第3期200-202,共3页Acta Academiae Medicinae Weifang

摘　　要：目的观察鼻内镜下鼻甲减容术联合鼻后神经(PNN)切断术治疗伴有下鼻甲肥大的变应性鼻炎(AR)的疗效。方法选取2018年9月~2019年9月就诊的伴有下鼻甲肥大的变应性鼻炎患者60例,随机分为观察组和对照组,每组各30例。对照组行鼻内镜下鼻甲减容术治疗,观察组行鼻内窥镜下鼻甲减容术联合双侧鼻后神经切断术治疗。两组患者均术后随访6个月、1年,通过术前与术后比较,以症状评分及体征评分的变化比较评价鼻内镜下鼻甲减容术联合双侧鼻后神经切断术治疗伴有下鼻甲肥大的变应性鼻炎的临床疗效。结果两组患者术前基本资料比较,差异无统计学意义(P>0.05),具有可比性。观察组术后6个月、12个月VAS评分较对照组低(P<0.05),观察组鼻部及眼部总体症状改善较对照组显著。结论鼻内镜下鼻甲减容术联合双侧鼻后神经切断术较单纯鼻内镜下鼻甲减容术治疗伴有下鼻甲肥大的AR患者症状改善更显著,更能有效控制鼻部及眼部症状,值得临床推广应用。Objective To explore the clinical observation of nasal endoscopic turbinate volume reduction combined with posterior rhinotomy to treat allergic rhinitis(AR) with inferior turbinate hypertrophy.Methods Sixty cases of AR with inferior turbinate hypertropy were selected and treated in Weifang People’s Hospital from September 2018 to September 2019.They were divided into observation group and control group according to random number table method, with 30 cases in each group.The control group was treated with nasal endoscopic turbinate volume reduction, and the observation group was treated with nasal endoscopic turbinate volume reduction combined with posterior rhinotomy.Patients in both groups were followed up for 6 months and 1 year after surgery, and the clinical efficacy of endoscopic turbinate volume reduction combined with posterior rhinotomy for allergic rhinitis with inferior turbinate hypertrophy was evaluated by comparing the changes of symptom scores and sign scores before and after surgery.Results There was no statistical significance in the comparison of preoperative basic information(gender, age, preoperative VAS score of nasal and ocular symptoms) between the two groups(P>0.05),and the data of patients in the two groups were comparable.The VAS scores of the observation group were lower than those of the control group(P<0.05),and the improvement of the overall symptoms of nose and eyes in the observation group was more significant than that in the control group.Conclusion Compared with the treatment of AR patients with inferior turbinate hypertrophy by nasal endoscopic turbinate volume reduction combined with bilateral retronasal neurotomy, the symptoms of AR patients with inferior turbinate hypertrophy can be improved more significantly, and the symptoms of the nose and eyes can be more effectively controlled, which is worthy of clinical promotion and application.

关 键 词：变应性鼻炎 鼻后神经切断术 下鼻甲减容术 VAS评分 近期临床观察 

分 类 号：R765.21[医药卫生—耳鼻咽喉科]