摘要
目的探讨鼻内镜下射频热凝鼻后下神经、筛前神经治疗常年性变应性鼻炎(PAR)的疗效。方法将80例PAR患者随机分为两组各40例,观察组采用鼻内镜下射频热凝鼻后下神经、筛前神经及下鼻甲综合疗法,对照组采用鼻内镜下射频热凝蝶腭神经疗法,观察两种疗法的疗效和并发症,所有病例均随访2年。结果术后0.5、1、2年观察组的总有效率分别为100%、95%、82.5%;对照组分别为67.5%、47.5%、32.5%,两组各年期总有效率差异有统计学意义(P<0.01)。观察组无并发症发生,对照组术中有3例出血,术后9例出现眼干。结论鼻内镜下射频热凝鼻后下神经、筛前神经及下鼻甲治疗PAR具有疗效显著、操作简便、无副作用等优点,有良好的临床应用价值。
Objective To study a new method for treating perennial allergic rhinifis （PAR）. Methods Eighty cases of PAR randomly divided into 2 groups. （1） In observation group,forty cases treated with nasal posterior-under nerve,ethmoidal nerve and infi-aturbinal radiofrequeney under nasal endoscope;（2） In control group,forty cases treated with sphenopalatine nerves radiofrequency under nasal endoscope. All the cases were follow-up two years postoperatlvely.Resuits In observation group,0.5,1,2 years total effective rate was 100% ,95% and 82.5% ,respectively while those of control group was 67.5% ,47.5% and 32. 5%. 0. 5,1,2 years total effective rate had significant difference between two groups （P 〈0. 01）. The complicatiom was not observed in observation group,massive intraoperation hemorrhage （n = 3 ） and xerophthalmia （n =9） was observed in control group. Conclusion The method that treating PAR with nasal posterior-under nerve,ethmoidal nerve and infraturbinal radiofrequency under nasal endoscope is highly effective,easy manipulation and few copmlications.
出处
《广西医学》
CAS
2008年第11期1649-1651,共3页
Guangxi Medical Journal
基金
广西科学研究与技术开发计划项目基金资助课题(桂科攻5024-20)
关键词
常年性变应性鼻炎
鼻后下神经
碟腭神经
筛前神经
射频热凝
鼻内镜
Perennial allergic rhinitis
Nasal posterior-under nerve
Sphenopalatine nerve
Radiofrequeney
Long-term effect
