经鼻内窥镜下鼻甲外移术联合Nd:YAG激光插入法治疗慢性鼻炎  

Endoscopic inferior turbinate out-fracture associated with Nd:YAG laser insertion approach in treatment of chronic rhinitis

作　　者：管国芳[1] 杨桂琴[2] 文连姬[1] 崔树勋[1] 王宗贵[1] 辛丁[1] 

机构地区：[1]吉林大学第二医院耳鼻咽喉科,长春130041 [2]吉林大学第二医院激光整形美容科,长春130000

出　　处：《激光杂志》2003年第6期81-82,共2页Laser Journal

摘　　要：目的 :探讨对保守治疗无效的慢性鼻炎的一种微创手术治疗方法 :经鼻内窥镜下鼻甲外移术联合Nd :YAG激光插入法。方法 :采用经鼻内窥镜下鼻甲外移术联合Nd :YAG激光插入法治疗对保守治疗无效的慢性鼻炎 84例。治疗前后采用糖精试验评定鼻粘膜纤毛功能。结果 :经 1至 3年随访 ,总有效率达 10 0 %。无并发症发生。治疗前后粘液纤毛传输速率差异无显著性 (P >0 .0 5 )。结论 :该术式视野清晰 ,操作简单 ,术后反应轻 ,病人痛苦小 ,门诊即可完成 ,疗效极佳 ,是一种对鼻粘膜纤毛功能无损伤的治疗慢性鼻炎的微创手术方法 ,值得推广应用。Objectives:To study the role of a minimally invasive operative technique:endoscopic inferior turbinate out-fracture associated with Nd:YAG laser insertion approach in chronic rhinitis without response to conservative treatment.Methods:84 cases with chronic rhinitis without response to conservative treatment were treated with endoscopic inferior turbinate out-fracture associated with Nd:YAG laser insertion approach.The nasal mucociliary function was evaluated withsaccharin test before and after operation.Results:The effective rate was 100 percent at 1 to 3-year follow-up.No complication was observed.No significant differences were observed in the mucociliary transport rates before and after operation(P>0.05).Conclusions:This technique was proved to be effective,have a clear operative field,easy to conduct,with mild adverse reactions.And the technique can be finished in the outpatient department.The technique was a minimally invasive operative technique without damage to the nasal mucociliary function.

关 键 词：慢性鼻炎 ND:YAG激光 鼻内窥镜术 下鼻甲骨折 激光插入法 

分 类 号：R765.2[医药卫生—耳鼻咽喉科] R454.2[医药卫生—临床医学]