山东大学耳鼻喉眼学报 ›› 2017, Vol. 31 ›› Issue (3): 18-21.doi: 10.6040/j.issn.1673-3770.1.2017.020

• 变应性鼻结膜炎防治进展·专题笔谈 • 上一篇    下一篇

难治性变应性鼻炎的外科治疗

刘怀涛1,马瑞霞1,程雷2,3,4   

  1. 1.宁夏医科大学总医院耳鼻咽喉头颈外科, 宁夏 银川 750004;
    2.南京医科大学第一附属医院 江苏省人民医院耳鼻咽喉科;
    3.南京医科大学国际变态反应研究中心;
    4.江苏省临床医学研究院过敏与自身免疫性疾病研究所, 江苏 南京 210029
  • 收稿日期:2017-06-10 出版日期:2017-06-16 发布日期:2017-06-16
  • 通讯作者: 刘怀涛. E-mail:huaitaol@sina.com

Surgical treatment of refractory allergic rhinitis.

LIU Huaitao1, MA Ruixia1, CHENG Lei2,3,4   

  1. 1. Department of Otorhinolaryngology Head and Neck Surgery, General Hospital of Ningxia Medical University, Yinchuan 750004, Ningxia, China;2. Department of Otorhinolaryngology, Jiangsu Province Hospital, The First Affiliated Hospital, Nanjing Medical University;3. International Centre for Allergy Research, Nanjing Medical University;4. The Institute of Allergy and Autoimmune Diseases, Jiangsu Clinical Medicine Research Institution, Nanjing 210029, Jiangsu, China
  • Received:2017-06-10 Online:2017-06-16 Published:2017-06-16

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摘要： 多年来,一些临床医师一直在尝试外科干预作为补充手段来治疗难治性变应性鼻炎,主要从两个方面入手:一是纠正鼻腔异常的结构,包括鼻中隔矫正术、各种下鼻甲减容手术等;另一方面是降低鼻腔黏膜对各种异常刺激的敏感性,最主要的是神经阻断手术,包括岩翼管神经切断术及鼻后神经切断术等。通过文献复习并结合临床指南以及我们的实践经验,对难治性变应性鼻炎的一些外科治疗方法进行介绍。

关键词: 变应性鼻炎, 外科治疗

Abstract: Some clinicians have been using surgical intervention as an alternative routine to treat refractory allergic rhinitis with two approaches: one to correct abnormal structures of the nasal cavity, such as septoplasty and inferior turbinate volume reduction surgery; the another approach is intended to reduce the hypersensitivity of the nasal mucosa to abnormal stimulation, such as neurectomy mainly includes vidian neurectomy and posterior nasal neurectomy. Based on the literature review and the clinical guidelines, some surgical treatment methods for refractory allergic rhinitis are introduced in this article.

Key words: Allergic rhinitis, Surgical procedures, operative

中图分类号: 

  • R765.4
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