高选择性翼管神经分支切断术治疗血管运动性鼻炎的临床疗效分析  

Analysis of the clinical effect of highly selective branches neurotomy of vidian nerve in the treatment of vasomotor rhinitis

作　　者：兰宁 廖鹏飞 郭凌云 陈维斌 LAN Ning;LIAO Pengfei;GUO Lingyun;CHEN Weibin(Department of Otorhinolaryngology and Head and Neck Surgery,People′s Hospital of Yichun City,Jiangxi Province,Yichun336000,China)

机构地区：[1]江西省宜春市人民医院耳鼻咽喉头颈外科,江西宜春336000

出　　处：《中国当代医药》2022年第2期119-122,共4页China Modern Medicine

基　　金：江西省宜春市科技计划项目(JXYC2020KSA012)。

摘　　要：目的探讨高选择性翼管神经分支切断术治疗血管运动性鼻炎的临床效果。方法选取2019年6月至2020年3月在宜春市人民医院接受治疗的60例血管运动性鼻炎患者作为研究对象,按照随机数字表法将其分为对照组与观察组,每组各30例。对照组患者采用下鼻甲消融术及鼻中隔矫正术治疗,观察组患者采用高选择性翼管神经分支切断术治疗,术后均随访12个月。比较两组患者术前(T0)、术后1个月(T_(1))、3个月(T_(2))、6个月(T_(3))及12个月(T_(4))时的症状、体征评分、视觉模拟评分法(VAS)评分及术后并发症发生情况。结果两组患者症状、体征评分的时间、组间、交互作用比较,差异有统计学意义(P<0.05),进一步两两比较,T0时两组患者的症状、体征评分比较,差异无统计学意义(P>0.05);T_(1)时两组患者的症状、体征评分高于T_(2),T_(2)时的症状、体征评分高于T_(3),T_(3)时的症状、体征评分高于T_(4),差异均有统计学意义(P<0.05);T_(1)、T_(2)、T_(3)、T_(4)时观察组患者的症状、体征评分均低于对照组,差异有统计学意义(P<0.05)。两组患者VAS评分的时间、组间、交互作用比较,差异有统计学意义(P<0.05),进一步两两比较,T0时两组患者的VAS评分比较,差异无统计学意义(P>0.05);T0时两组患者的VAS评分高于T_(1),T_(1)时两组的VAS评分高于T_(2),T_(2)时两组的VAS评分高于T_(3),T_(3)时两组的VAS评分高于T_(4)时点,差异均有统计学意义(P<0.05);T_(1)、T_(2)、T_(3)、T_(4)时观察组患者的VAS评分均低于对照组,差异有统计学意义(P<0.05)。观察组患者的术后并发症总发生率低于对照组,差异有统计学意义(P<0.05)。结论在血管运动性鼻炎患者中采用高选择性翼管神经分支切断术治疗的效果较好,可调节患者的临床症状、体征,缓解疼痛情况,且安全性较好。Objective To analyze the clinical effect of highly selective branches neurotomy of vidian nerve in the treatment of vasomotor rhinitis.Methods Sixty patients with vasomotor rhinitis who were treated in People′s Hospital of Yichun City from June 2019 to March 2020 were selected and divided into the control group and the observation group according to the random number table method,with 30 cases in each group.The patients of the control group were treated with inferior turbinate ablation and nasal septum correction.The patients of the observation group were treated with highly selective branches neurotomy of vidian nerve.Patients of both groups were followed up for 12 months.Before the operation(T0),1 month after operation(T_(1)),3 months after operation(T_(2)),6 months after operation(T_(3))and 12 months after operation(T_(4)),the symptoms,signs score and visual analog scale(VAS)scoreand the postoperative complications of the two groups were compared.Results There were statistically significant differences in the time,intergroup and interaction of the scores of symptoms and signs between the two groups(P<0.05).Further pairwise comparison,there were no statistically significant differences in the scores of symptoms and signs between the two groups at T0(P>0.05).The scores of symptoms and signs of the two groups at T_(1) were higher than those at T_(2),the scores of symptoms and signs at T_(2) were higher than those at T_(3),and the scores of symptoms and signs at T_(3) were higher than those at T_(4),and the differences were statistically significant(P<0.05).At T_(1),T_(2),T_(3) and T_(4),the scores of symptoms and signs in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).There were statistically significant differences in the time, intergroup and interaction of the VAS score between the two groups (P<0.05). Further pairwise comparison, there was no statistically significant difference in VAS score at T0 between the two groups (P>0.05). VA

关 键 词：血管运动性鼻炎 下鼻甲消融术 鼻中隔矫正术 高选择性翼管神经分支切断术 

分 类 号：R765.21[医药卫生—耳鼻咽喉科]