鼻中隔矫正术治疗变应性鼻炎的临床观察

山东大学耳鼻喉眼学报 ›› 2011, Vol. 25 ›› Issue (2): 48-50.

鼻中隔矫正术治疗变应性鼻炎的临床观察

甘卫刚1，洪育明2

1.福建医科大学2008级硕士研究生，福建泉州 362000；
2.福建医科大学附属第二医院耳鼻咽喉科，福建泉州 362000

收稿日期:2010-09-16 修回日期:2011-02-10 出版日期:2011-04-16 发布日期:2011-04-16
作者简介:甘卫刚(1985- )，男，硕士研究生，主要从事耳鼻咽喉-头颈肿瘤的基础和临床研究。 Email: coolor123@163.com

Nasal septal reconstruction in treatment of allergic rhinitis

GAN Wei-gang1, HONG Yu-ming2

1. The 2008 Grade PostGraduate of Fujian Medical University, Quanzhou 362000, Fujian, China;
2. Department of Otorhinolaryngology, Second Affiliated Hospital of Fujian Medical University,
Quanzhou 362000, Fujian, China

Received:2010-09-16 Revised:2011-02-10 Online:2011-04-16 Published:2011-04-16

摘要/Abstract

摘要：

目的观察鼻中隔矫正术治疗合并鼻中隔偏曲的变应性鼻炎的疗效。方法选择1998年1月至2008年10月合并鼻中隔偏曲的变应性鼻炎260例，在局麻下行鼻中隔黏膜下矫正术，同时行单侧下鼻甲部分切除术22例。结果根据中华医学会耳鼻咽喉科分会变应性鼻炎的疗效评定标准，显效187例（72%），有效49例（19%），无效24例（9%），总有效率91%，术后随访1.5～2年，复发15例（6%）。结论鼻中隔矫正术可以破坏鼻腔内、外侧壁前部的鼻腔反射和喷嚏反射弧感受器，降低该处的变应性鼻炎发作的扳机点作用，同时降低了鼻腔迷走神经的兴奋性，减轻血管扩张，减少腺体分泌，从而改善症状。该手术安全、有效，易于操作，是治疗变应性鼻炎的有效方法。

关键词: 鼻炎，变应性；鼻中隔偏曲；下鼻甲；外科手术

Abstract:

Objective To observe the effect of nasal septal reconstruction in treatment of allergic rhinitis (AR) with nasal septal deviation. Method 260 cases of AR with nasal septal deviation were treated by nasal septal resconstruction, 22 of whom were also treated by partial inferior tubinectomy. Results According to the treatment response assessment standard of the Chinese Society of Otorhinolaryngology, 187 cases (72%) had marked effect, 49 cases(19%) had effect, and 24 cases(9%) had no effect, and thus the total effective rate was 91%. 15 cases(6%) recurred after being followed up for 1～2 years. Conclusion Nasal septal reconstruction can destroy the nasal reflect and sneezing reflect receptor of the anterior part of the nasal interior and exterior wall, lower the trigger point of the attack of AR, lower the excitability of the nasal vagus nerve, ease vasodilatation, and reduce glandular secretion. The operation is safe and effective in the treatment of AR.

Key words: Rhinitis, allergic; Deviation of nasal septum; Infereior turbinate; Surgical procedures, operative

中图分类号:

R765.39

甘卫刚1，洪育明2. 鼻中隔矫正术治疗变应性鼻炎的临床观察[J]. 山东大学耳鼻喉眼学报, 2011, 25(2): 48-50.

GAN Wei-gang1, HONG Yu-ming2. Nasal septal reconstruction in treatment of allergic rhinitis[J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2011, 25(2): 48-50.

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