山东大学耳鼻喉眼学报

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鼻内镜下改良下鼻甲成形术临床观察

周毅波,颜永毅   

  1. 广州市第十二人民医院耳鼻咽喉头颈外科, 广东  广州  510620
  • 收稿日期:2014-03-01 出版日期:2014-06-16 发布日期:2014-06-16
  • 通讯作者: 颜永毅,主任医师。 E-mail:yungyi@188.com 
  • 作者简介:周毅波。 E-mail:boyi365@163.com

Clinical observation on improved nasal endoscopic plasty of inferior turbinate

ZHOU Yi-bo, YAN Yong-yi   

  1. Department of Otolaryngology & Head and Neck Surgery, Guangzhou 12th Peoples Hospital, Guangzhou 510620, Guangdong, China
  • Received:2014-03-01 Online:2014-06-16 Published:2014-06-16

摘要: 目的    探讨鼻内镜下改良下鼻甲成形术的临床疗效及手术技巧。方法    114例慢性肥厚性鼻炎患者随机分组,A组57例行鼻内镜下改良下鼻甲成形术,B组57例行鼻科微型切吸器下鼻甲黏膜下切除术,比较两组的疗效。结果    两组患者术后鼻阻力值及VAS评分均较术前显著降低(P<0.05);两组间术后1月时鼻阻力及VAS评分比较差异无统计学意义(P>0.05),而术后1年时均下降(P<0.05);A组术后近、远期疗效差异无统计学意义(P>0.05),B组有统计学意义(P<0.05)。结论    改良下鼻甲成形术的远期疗效明显好于以微型切吸刀头行黏膜下组织切吸术,是改善慢性肥厚性鼻炎患者鼻塞的理想方法。

关键词: 慢性肥厚性鼻炎, 改良下鼻甲成形术, 下鼻甲黏膜下切除术

Abstract: Objective    To investigate the effectiveness and operation skills in improved plasty of the inferior turbinate. Methods    Totally 114 cases of chronic hypertrophic rhinitis were randomly grouped. The 57 cases of group A were treated by improved plasty of inferior turbinate, and the other 57 cases of group B were treated by submucous turbinate resection with a micro-suction cutter. Results    The post-operative nasal resistance value and VAS scores were significantly lower than the pre-operative ones(P<0.05); There was no statistical significance between the two groups in comparing pre-operative and post-operative 1 month nasal resistance value and VAS scores (P>0.05), but there was  after post-operative 1 year (P<0.05); There was no significant difference in recent and forward curative effect in group A(P>0.05), but there was in group B (P<0.05) . Conclusion    The improved plasty of inferior turbinate can result in better forward curative effect than the submucous turbinate resection with a micro-suction cutter, and it is ideal in improving chronic hypertrophic rhinitis.

Key words: Improved plasty of inferior turbinate;  , Submucous turbinate resection, Chronic hypertrophic rhinitis; 

中图分类号: 

  • R765.9
[1] 李宇,郑天其,李晋,李重,郭朝先. 下鼻甲序贯手术在慢性肥厚性鼻炎中的应用[J]. 山东大学耳鼻喉眼学报, 2017, 31(2): 62-66.
[2] 侯森1,杨海珍2. 低温等离子射频消融术治疗慢性肥厚性鼻炎有效率的Meta分析[J]. 山东大学耳鼻喉眼学报, 2013, 27(1): 51-53.
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