山东大学耳鼻喉眼学报 ›› 2018, Vol. 32 ›› Issue (1): 77-81.doi: 10.6040/j.issn.1673-3770.0.2017.324

• ·综述· • 上一篇    下一篇

鼻内镜下手术治疗鼻高反应性疾病进展

李超1,曹永华1,张艳廷2,程冯丽2,任建军3,赵长青2   

  1. 81271059、81670914);
    山西省回国留学人员重点科研资助项目(2014-重点3);
    山西省科技攻关项目(20130313022-1);
    陕西中医药大学2017年度科研基金项目(2017QN33)第一作者:李超。E-mail: lichao4293411@163.com通讯作者:赵长青。 E-mail: fahyj@126.comDOI:10.6040/j.issn.1673-3770.0.2017.324鼻内镜下手术治疗鼻高反应性疾病进展李超1, 曹永华1, 张艳廷2, 程冯丽2, 任建军3, 赵长青2(1. 陕西中医药大学第二附属医院耳鼻咽喉头颈外科, 陕西 咸阳 712000;
    2. 山西医科大学第二附属医院耳鼻咽喉头颈外科, 山西 太原 030001;
    3. 宁波市医疗中心-李惠利东部医院耳鼻咽喉头颈外科, 浙江 宁波 315000
  • 收稿日期:2017-07-27 出版日期:2018-01-20 发布日期:2018-01-20
  • 通讯作者: 赵长青. E-mail: fahyj@126.com
  • 基金资助:
    国家自然科学基金面上项目(81271059、81670914);山西省回国留学人员重点科研资助项目(2014-重点3);山西省科技攻关项目(20130313022-1);陕西中医药大学2017年度科研基金项目(2017QN33)

Nasal endoscopy in the treatment of nasal mucosal hyperreactive rhinopathy

LI Chao1, CAO Yonghua1, ZHANG Yanting2, CHENG Fengli2, REN Jianjun3, ZHAO Changqing2   

  1. the Second Hospital of Shanxi Medical University, Taiyuan 030001, Shanxi, China;3. Ningbo Medical Center Lihuili Eastern Hospital, Ningbo 315000, Zhejiang, China
  • Received:2017-07-27 Online:2018-01-20 Published:2018-01-20

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摘要： 鼻高反应性疾病在临床上主要包括变态反应性鼻炎和血管运动性鼻炎。目前大多数患者经过规范化药物治疗症状可以控制,但仍有部分患者症状持续存在或频繁发作,严重影响患者的生活质量。近年来,随着鼻内镜技术的发展,一些学者开始尝试通过内镜下手术治疗鼻高反应性疾病,且取得了较好的疗效。现就手术的适应证、手术方式、疗效、评价标准、并发症等进行综述。

关键词: 鼻高反应性疾病, 翼管神经切断术, 鼻后神经切断术

Abstract: Nasal mucosal hyperreactive rhinopathy mainly includes allergic rhinitis and vasomotor rhinitis. Symptoms of nasal mucosal hyperreactive rhinopathy can be controlled in most patients; however, they persist or recur in some patients. In recent years, some scholars have begun to treat nasal mucosal hyperreactive rhinopathy via nasal endoscopy, with good results. This article presents a review of the indications, methods, effects, evaluation standard, and complications of the treatment of nasal mucosal hyperreactive rhinopathy via nasal endoscopy.

Key words: Nasal mucosal hyperreactive rhinopathy, Endoscopic vidian neurectomy, Endoscopic posterior nasal neurectomy

中图分类号: 

  • R765.9
[1] 孔维佳. 耳鼻咽喉头颈外科学[M].2版.北京:人民卫生出版社,2011:288-297.
[2] Meltzer EO, Blaiss MS, Derebery MJ, et al. Burden of allergic rhinitis: results from the Pediatric Allergies in America survey[J]. J Allergy Clin Immunol, 2009, 124(Suppl 3):S43-70.
[3] 中华耳鼻咽喉头颈外科杂志编委会鼻科组,中华医学会耳鼻咽喉头颈外科学分会鼻科学组. 变应性鼻炎诊断和治疗指南(2015年, 天津)[J].中华耳鼻咽喉头颈外科杂志,2016,51(1):6-24. Subspecialty Group of Rhinology, Editorial Board of Chinese Journal of Otorhinalryngology Head and Neck Surgery, Chinese Medical Association. Chinese guidelines for diagnosis and treatment of allergic rhinitis[J]. Chin J Otorhinolaryngol Head Neck Surg, 2016, 51(1):6-24.
[4] 中华耳鼻咽喉头颈外科杂志编委会鼻科组,中华医学会耳鼻咽喉头颈外科学分会鼻科学组.血管运动性鼻炎诊断和治疗建议(2013年, 苏州)[J].中华耳鼻咽喉头颈外科杂志,2013,48(11):884-885. Subspecialty Group of Rhinology, Editorial Board of Chinese Journal of Otorhinalryngology Head and Neck Surgery, Chinese Medical Association. Suggestion on the diagnosis and treatment of vasomotor rhinitis[J]. Chin J Otorhinolaryngol Head Neck Surg, 2013, 48(11):884-885.
[5] Golding Wood PH. Observations on petrosal and vidian neurectomy in chronic vasomotor rhinitis[J]. J Laryngol Otol, 1961, 75(3):232-247.
[6] Robinson SR, Wormald PJ. Endoscopic vidian neurectomy[J]. Am J Rhinol, 2006, 20(2):197-202.
[7] Jang TY, Kim YH, Shin SH. Long-term effectiveness and safety of endoscopic vidian neurectomy for the treatment of intractable rhinitis[J].Clin Exp Otorhinolaryngol, 2010, 3(4):212-216.
[8] Lee JC, Kao CH, Hsu CH, et al. Endoscopic transsphenoidal vidian neurectomy[J]. Eur Arch Otorhinolaryngol, 2011, 268(6): 851-856.
[9] 冀永进, 张艳廷, 赵长青, 等. 鼻内镜下经蝶窦翼管神经切断术的手术探讨[J]. 中国耳鼻咽喉颅底外科杂志, 2014, 20(6): 483-486. JI Yongjin, ZHANG Yanting, ZHAO Changqing, et al. A modified endoscopic transsphenoidal vidian neurectom[J]. Chin J Otorhinolaryngology-skull Base Surg, 2014, 20(6): 483-486.
[10] Tan G, Ma Y, Li H, et al. Long-term results of bilateral endoscopic vidian neurectomy in the management of moderateto severe persistent allergic rhinitis[J]. Arch Otolaryngol Head Neck Surg, 2012, 138(5): 492-497.
[11] Kanaya T, Kikawada T. Endoscopic posterior nasal neurectomy: an alternative to Vidian neurectomy[J].Clin Exper Allergy Rev, 2009, 1(9):24-27.
[12] 刘怀涛, 马瑞霞, 闫小会, 等. 鼻后神经切断术治疗高反应性鼻病的临床观察[J]. 中华耳鼻咽喉头颈外科杂志,2013,48(12):1032-1034. LIU Huaitao, MA Ruixia, YAN Xiaohui, et al. Clinical study on resection of the posterior nasal nerve for hyperreactive rhinopathy[J]. Chin J Otorhinolaryngol Head Neck Surg, 2013, 48(12):1032-1034.
[13] 田勇泉.耳鼻咽喉头颈外科学[M].8版. 北京:人民卫生出版社,2013:63.
[14] 陆秋天,梁建平,刘蓓, 等.综合疗法治疗常年性变应性鼻炎[J].临床耳鼻咽喉科杂志,2012,16(5):204-205. LU Qiutian, LIANG Jianping, LIU Pei, et al. The observation of clinical efficacy of combined modality therapy in 58 cases of perennial allergic rhinitis[J]. J Clin Otorhinolaryngol Head Neck Surg, 2012, 16(5): 204-205.
[15] Kobayashi T, Hyodo M, Nakamura K, et al. Resection of peripheral branches of the posterior nasal nerve comparedto conventional posterior neurectomy in severe allergic rhinitis[J]. Auris Nasus Larynx, 2012, 139(6):593-596.
[16] Stevenson W, Pugazhendhi S, Wang M. Is the main lacrimal gland indispensable? Contributions of the corneal and conjunctival epithelia[J]. Surv ophthal, 2016, 61(5):616-627.
[17] Maitchouk DY, Beuerman RW, Ohta T, et al.Tear production after unilateral removal of the main lacrimal gland in squirrel monkeys[J]. Arch Ophthalmol, 2000, 118(2):246-252.
[18] Bhattacharya D, Ning Y, Zhao F, et al. Tear Production After Bilateral Main Lacrimal Gland Resection in Rabbits[J].Invest Ophthalmol Vis Sci, 2015, 56(13):7774-7783.
[19] 赵长青, 张艳廷, 何敏. 翼管神经切断术在变应性鼻炎治疗中的作用[J]. 中华耳鼻咽喉头颈外科杂志, 2017,52(7): 484-490. ZHAO Changqing, ZHANG Yanting, HE Min. Effects of vidian neurectomy on allergic rhinitis[J]. Chin J Otorhinolaryngol Head Neck Surg, 2017, 52(7): 484-490.
[20] 邢金燕, 陶爱林, 张建国. 变应性鼻炎的发病机制研究现状[J]. 山东大学耳鼻喉眼学报,2006,20(5):451-455.
[21] Zhao C, Tao Z, Xiao J, et al. Changes in tachykinin-ergic nerve terminal densities in rat nasal mucosa during hypersensitivity[J]. Chin Med J, 1997, 110(2):134-138.
[22] Zhao C, Tao Z, Xiao J, et al. Histochemical and immunohistochemical studies of distribution of acetylcholinesterase-positive fibers and peptidergic terminals in the nasal mucosa of rats[J].Chin Med J, 1998, 111(7): 644-647.
[23] Godden DJ. Reflex and nervous control of the tracheobronchial circulation[J].Eur Respirat J,1990,12(Suppl):S602-S607.
[24] Chuaychoo B, Hunter DD, Myers AC, et al. Allergen-induced substance P synthesis in large-diameter sensory neurons innervating the lungs[J]. J Allergy Clin Immunol, 2005, 116(2):325-331.
[25] Tancowny BP, Karpov V, Schleimer RP, et al. Substance P primes lipoteichoic acid- and Pam3CysSerLys4-mediated activation of human mast cells by up-regulating Toll-like receptor 2[J].Immunology, 2010, 131(2):220-230.
[26] Zheng PY, Feng BS, Oluwole C, et al. Psychological stress induces eosinophils to produce corticotrophin releasing hormone in the intestine[J].Gut, 2009, 58(11):1473-1479.
[27] De Swert KO, Bracke KR, Demoor T, et al. Role of the tachykinin NK1 receptor in a murine model of cigarette smoke-induced pulmonary inflammation[J].Respir Res, 2009, 10(1):37.
[28] McCary C, Tancowny BP, Catalli A, et al. Substance P downregulates expression of the high affinity IgE receptor(FcepsilonRI)by human mast cells[J]. J Neuroimmunol, 2010, 220(1-2):17-24.
[29] Pullen NA, Barnstein BO, Falanga YT, et al. Novel mechanism for Fc{epsilon}RI-mediated signal transducer and activator of transcription 5(STAT5)tyrosine phosphorylation and the selective influence of STAT5B over mast cell cytokine production[J].J Biol Chem, 2012, 287(3):2045-2054.
[30] Undem BJ, Taylor-Clark T. Mechanisms underlying the neuronal-based symptoms of allergy[J]. J Allergy Clin Immunol, 2014, 133(6):1521-1534.
[31] 王书敬, 赵长青. 翼管神经切断术对鼻黏膜肥大细胞的影响[D]. 太原: 山西医科大学, 2013.
[32] Konno A. Historical, pathophysiological, and therapeutic aspects of vidian neurectomy[J]. Curr Allergy Asthma Rep, 2010, 10(2):105-112.
[33] Ikeda K, Yokoi H, Saito T, et al. Effect of resection of the posterior nasal nerve on functional and morphological changes in the inferior turbinate mucosa[J]. Acta Otolaryngol, 2008, 128(12):1337-1341.
[1] 李松,王宗贵,杨景朴,张竹萍. 鼻内镜下翼管神经切断术进展[J]. 山东大学耳鼻喉眼学报, 2018, 32(1): 72-76.
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