山东大学耳鼻喉眼学报 ›› 2010, Vol. 24 ›› Issue (2): 38-.

• 论文 • 上一篇    下一篇

射频电离子综合治疗仪在慢性鼻-鼻窦炎术后的应用

薛章委,方文旭,胡伟群   

  1. 福建医科大学莆田学院附属医院耳鼻咽喉科, 福建 莆田 351100
  • 收稿日期:2009-10-29 修回日期:2010-02-18 出版日期:2010-04-16 发布日期:2010-04-16
  • 作者简介:薛章委,男,副主任医师,主要从事耳鼻咽喉科临床科学方面的研究。 Email:xzwfjpt@126.com

Application of radiofrequency electrical ion comprehensive treatment  instrument in the post-operative patients with chronic nosesinusitis

XUE Zhangwei, FANG Wenxu, HU Weiqun   

  1. Department of Otorhinolarygology, the Affiliated Hospital of Putian University, Putian 351100, Fujian, China
  • Received:2009-10-29 Revised:2010-02-18 Online:2010-04-16 Published:2010-04-16

摘要:

目的  应用射频电离子综合治疗仪处理慢性鼻-鼻窦炎术后常见的并发症,观察其临床疗效。方法  108例慢性鼻-鼻窦炎术后发生常见并发症患者,随机平均分成A、B两组,A组(射频组)应用射频电离子综合治疗仪处理术腔内肉芽组织、粘连组织及窦口狭窄、闭锁,B组(常规组)常规鼻内镜下应用鼻内镜器械处理术腔,分析临床有效率与治愈率。结果  A组治愈率(59.26%)与B组治愈率(51.85%)相近,但A组有效率(92.59%)明显高于B组(83.33%),其中在2~4个月之内上皮化率A组(57.41%)比B组(37.04%)多,差异有统计学意义(P<0.01)。结论  应用射频电离子综合治疗仪处理慢性鼻-鼻窦炎术后并发症,其疗效显著,既能缩短术后随访的时程,又能有效控制并发症的复发。

关键词: 射频电离子综合治疗仪;慢性鼻-鼻窦炎

Abstract:

Objective   To observe the clinical efficacy of radiofrequency electrical ion comprehensive treatment instrument in the treatment of common postoperative complications of chronic nose-sinusitis. Methods  108 patients with chronic nose-sinusitis were randomly divided into group A and group B. In group A (RF group), the granulation tissue, adhesions organizations and atresia of sinus ostium stenosis were cleaned up by radiofrequency electrical ion comprehensive treatment instrument; in group B (conventional group), cavities were dealed with by endoscopic sinus surgery instruments under general endoscope. Clinical response and cure rates were analyzed. Results  The cure rate was similar between group A and group B(59.26% vs 51.85%); the response rate in group A (92.59%) was significantly higher than that in group B (83.33%); the rate of epithelialization in group A (57.41%) was higher than that in group B (37.04%)  during the 2-4 month period, the results were statistically significant (P<0.01) . Conclusion  Application of RF ion instrument in comprehensive treatment of postoperative complications of chronic nose-sinusitis has significant effect, shortening the postoperative follow-up schedule and effectively controling the recurrence of complications.

Key words: Radiofrequency electrical ion comprehensive treatment instrument; Chronic nose-sinusitis

中图分类号: 

  • R765.2
[1] 刘继远,佘志强,龙增勇,陆灵娟. 等离子射频消融辅助手术治疗鼻瓣区多部位狭窄47例[J]. 山东大学耳鼻喉眼学报, 2011, 25(3): 63-65.
[2] 马俊伟, 刘婷婷,张念凯. 鼻内镜下鼻中隔正中入路治疗额窦病变的应用解剖[J]. 山东大学耳鼻喉眼学报, 2011, 25(2): 54-56.
[3] 刘亦青,时光刚 . 老年鼻部疾患258例临床特点分析[J]. 山东大学耳鼻喉眼学报, 2010, 24(5): 29-31.
[4] 任秀敏,张燕,段乃超,杨彦忠. 局部应用糖皮质激素对鼻息肉组织中水通道蛋白8表达的影响[J]. 山东大学耳鼻喉眼学报, 2010, 24(4): 45-47.
[5] 姜栋,于海清,谭清爽,于志良. 瑞术康防治135例鼻腔粘连效果观察[J]. 山东大学耳鼻喉眼学报, 2010, 24(3): 52-53.
[6] 郑鹏凌, 易笃友, 陈卫国, 卢俊, 唐认学. 利多卡因联合膨胀海绵在鼻腔手术填塞中的应用[J]. 山东大学耳鼻喉眼学报, 2010, 24(2): 43-44.
[7] 楚士东1,洪荧灿2,刘应万2,马纪清2,于振坤1. 严重鼻中隔偏曲合并单侧鼻窦病变63例诊治体会[J]. 山东大学耳鼻喉眼学报, 2009, 23(5): 46-47.
[8] 吴元庆 徐进敬 戚建伟 邓毅. 上颌窦囊肿的临床分析[J]. 山东大学耳鼻喉眼学报, 2009, 23(4): 56-57.
[9] 王永福1,张庆泉2,于军1,宇雅苹1,张宁1,陈晓华1,牟莉莉1. 鼻内镜手术治疗腭正中囊肿与开放式手术的比较[J]. 山东大学耳鼻喉眼学报, 2009, 23(6): 53-54.
Viewed
Full text


Abstract

Cited

  Shared   
  Discussed   
No Suggested Reading articles found!