山东大学耳鼻喉眼学报 ›› 2013, Vol. 27 ›› Issue (3): 27-29.doi: 10.6040/j.issn.1673-3770.0.2013.063

• 论著 • 上一篇    下一篇

鼻内镜下手术治疗变应性鼻炎伴鼻中隔偏曲疗效观察

张田1,陈剑秋1,林家峰1,李跟红1,叶犇1,贺祯1,赵秀娟1,王慧丽2,朱春生1   

  1. 1.济南军区总医院耳鼻咽喉头颈外科, 济南 250031; 2.乐陵市中医院耳鼻喉科, 山东 乐陵 253600
  • 收稿日期:2013-03-06 发布日期:2013-06-16
  • 通讯作者: 朱春生,教授。Email:showing100@163.com
  • 作者简介:张田。 Email:qingzhouzhangtian@163.com

Clinical effect of operation for allergic rhinitis with septumdeviation.

ZHANG Tian1, CHEN Jian-qiu1, LIN Jia-feng1, LI Gen-hong1, YE Ben1, HE Zhen1, ZHAO Xiu-juan1, WANG Hui-li2, ZHU Chun-sheng1   

  1. 1. Department of Otolaryngology Head and Neck Surgery, General Hospital of Jian Military Region, Jinan 250031, China; 2. Department of Otolaryngology, Leling Hospital of Traditional Chinese Medicine,  Leling 253600, Shandong, China
  • Received:2013-03-06 Published:2013-06-16

摘要:

目的   探讨手术治疗持续性变应性鼻炎伴鼻中隔偏曲的临床疗效。方法   将132例患者随机分成A、B、C组,分别采用药物治疗、鼻中隔偏曲矫正术、鼻中隔偏曲矫正联合下鼻甲黏骨膜下切除或下鼻甲骨折外移术,治疗后定期随访,观察3组临床疗效。结果   A、B、C组患者治疗后3个月总有效率分别是86.36%、93.18%、100%,6个月总有效率分别为68.18%、86.36%、97.73%,1年总有效率分别为43.18%、81.82%、95.45%。结论   与药物治疗相比,鼻内镜下手术治疗伴鼻中隔偏曲的持续性变应性鼻炎疗效较好,鼻内镜下鼻中隔偏曲矫正联合下鼻甲黏骨膜下切除或下鼻甲骨折外移则可获取更满意的疗效。

关键词: 持续性变应性鼻炎, 外科手术, 鼻中隔偏曲

Abstract:

Objective   To investigate the effect of nasal endoscopic operation on persistent allergic rhinitis with septum-deviation. Methods   According to the symptoms, sinus CT and examination result of the nasal cavity,132 patients with persistent allergic rhinitis with septum-deviation were randomly divided into A, B and C groups separately using drug-therapy, endoscopic nasal septal reconstruction and endoscopic nasal septal reconstruction and inferior turbinate angioplasty. Results   After a follow-up of 3 months, the total effect rates of the three groups respectively were 86.36%, 93.18% and 100%. After a follow-up of 6 months, they were 68.18%, 86.36% and 97.73%, respectively. After a follow-up of 1  year, they were 43.18%, 81.82% and 95.45%, respectively. Conclusion   Comparing with drug therapy, nasal endoscopic operation is better for persistent allergic rhinitis with septum deviation. Endoscopic nasal septal reconstruction and inferior-turbinate angioplasty or inferior turbinate lateral fracture can obtain a more satisfactory long-term curative effect.

Key words: Persistent allergic rhinitis, Surgical procedures, operative, Septumdeviation

中图分类号: 

  • R765.21
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