鼻内镜下低温等离子下鼻甲射频消融术对慢性鼻-鼻窦炎的疗效观察  

Clinical curative effects of low-temperature plasma inferior nasal concha radiofrequency ablation under nasal endoscopy in treatment of chronic rhinosinusitis

作　　者：王荣霞[1] 尹会文 王秋菊 刘文霞[1] WANG Rongxia;YIN Huiwen;WANG Qiuju(Department of Otolaryngology,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咽喉科,053000 [2]河北省衡水市第二人民医院新生儿科,053000

出　　处：《河北医药》2021年第24期3729-3732,共4页Hebei Medical Journal

基　　金：衡水市科技计划项目(编号:2019014006Z)。

摘　　要：目的分析将鼻内镜下低温等离子下鼻甲射频消融术应用于慢性鼻-鼻窦炎(CRS)患者治疗中的临床价值。方法临床研究对象为80例接受治疗的慢性鼻-鼻窦炎(CRS)患者,入院时间为2019年12月至2020年3月,凭借随机数字表法分组,每组40例。对照组实施下鼻甲部分切除术联合鼻内镜鼻窦手术,观察组实施内镜下低温等离子下鼻甲射频消融术,比较2组治疗效果。结果治疗后,观察组患者术中出血量、手术时间、填塞物数量及住院时间显著低于对照组,差异有统计学意义(P<0.05);观察组与对照组治疗总有效率分别为(97.50%)、(75.00%),差异有统计学意义(P<0.05);治疗前,2组患者SCT、MCT及MTR差异无统计学意义(P>0.05);治疗后,观察组患者SCT[(19.98±1.03)min]显著低于对照组[(26.44±1.54)min],差异有统计学意义(P<0.05);观察组患者MCT[(8.90±0.66)mm/min]及MTR[(76.23±6.58)%]显著高于对照组患者的MCT[(6.40±0.54)mm/min]及MTR[(70.70±6.43)%],差异有统计学意义(P<0.05);治疗前,2组患者鼻呼吸面积以及嗅觉功能差异无统计学意义(P>0.05);治疗后,观察组患者鼻呼吸面积[(10.91±0.65)cm^(2)]以及嗅觉功能[(12.90±0.82)分]显著高于对照组患者的鼻呼吸面积[(10.32±0.61)cm^(2)]以及嗅觉功能[(11.40±0.70)分],差异有统计学意义(P<0.05);治疗前,2组患者VAS评分以及snot-20评分差异无统计学意义(P>0.05);治疗后,观察组患者的VAS评(0.69±0.18)分以及snot-20评分[(7.10±0.55)分]显著低于对照组患者的VAS评[(1.40±0.25)分]及snot-20评分[(14.02±1.43)分],差异有统计学意义(P<0.05);观察组与对照组并发症发生率分别为5.00%、25.00%,差异有统计学意义(P<0.05)。结论CRS患者行鼻内镜下低温等离子下鼻甲射频消融术治疗可有效缓解头痛、流涕、鼻塞等临床症状,鼻黏液纤毛清除率等相关指标均得以显著改善,治疗效果显著,值得广泛推广应用于临床。Objective To investigate the clinical curative effects of low-temperature plasma inferior nasal concha radiofrequency ablation under nasal endoscopy in treatment of chronic rhinosinusitis(CRS).Methods A total of 80 patients with CRS who were treated in our hospital from December 2019 to March 2020 were enrolled in the study,who were divided into observation group and control group according to random number table,with 40 cases in each group.The patients in control group were treated by inferior nasal concha partial turbinectomy combined with paranasal sinus surgery under nasal endoscopy,however the patients in observation group were treated by low-temperature plasma inferior nasal concha radiofrequency ablation under nasal endoscopy.The therapeutic effects were observed and compared between the two groups.Results After treatment,the intraoperative bleeding loss,operation time,wadding numbers and hospital stay in observation group were significantly lower than those in control group(P<0.05).And the total effective rate in observation group was significantly higher than that in control group(97.50%vs 97.50%,P<0.05).Before treatment there were no significant differences in SCT,MCT,MTR between the two groups(P>0.05).After treatment the nose breathe area and olfaction function in observation group were significantly higher than those in control group(P<0.05).Before treatment,there were no significant differences in VAS score and snot 20 score between two groups(P>0.05).After treatment the VAS scores and snot 20 scores in observation group were significantly lower than those in control group(P<0.05).Moreover there was significant difference in the incidence of complication between the observation group and control group(5.00%vs 25.00%,P<0.05).Conclusion The application of low-temperature plasma inferior nasal concha radiofrequency ablation under nasal endoscopy in treatment of CRS can effectively improve the clinical symptoms including headache,runny nose,nasal congestion,with significant therapeutic effects,therefor,i

关 键 词：鼻内镜 低温等离子 慢性鼻-鼻窦炎 鼻黏液纤毛清除率 鼻甲射频消融术 

分 类 号：R765.21[医药卫生—耳鼻咽喉科]