摘要
目的观察鼻后神经切断术治疗变应性鼻炎(AR)的疗效。方法选择就诊于潍坊市人民医院耳鼻咽喉科并有手术指征的变应性鼻炎患者64例,按1∶1随机分为观察组、对照组,每组32例。对照组患者只行功能性鼻内镜手术,观察组患者行功能性鼻内镜手术的同时行双侧鼻后神经切断术。根据变应性鼻炎的诊断及疗效评定标准,通过记分法评定其临床疗效。结果术后12个月进行随访评价,对照组有效23例,无效9例,总有效率71.88%;观察组有效30例,无效2例,总有效率93.75%,两组间疗效差异有统计学意义(P<0.05);两组患者视觉模拟量表(VAS)评分均显著下降,组间差异有统计学意义(P<0.05)。结论鼻内镜下鼻后神经切断术治疗变应性鼻炎疗效确切,值得临床上推广应用。
Objective To observe the effect of endoscopic–assisted posterior nasal neurotomy in the treatment of allergic rhinitis.Methods Sixty-four patients with allergic rhinitis who were admitted to the Otorhinolaryngology Department of Weifang People’s Hospital and had surgical indications were randomly divided into observation group and control group according to 1∶1,32 cases in each group.Patients in the control group received functional endoscopic sinus surgery only,while patients in the observation group received functional endoscopic sinus surgery and bilateral posterior rhinotomy at the same time.According to the diagnostic and therapeutic criteria of allergic rhinitis,the clinical efficacy of allergic rhinitis was evaluated by scoring method.Results Twelve months after operation,23 cases were effective in the control group,9 cases were ineffective,and the total effective rate was 71.88%.Thirty cases were effective in the observation group,2 cases were ineffective,and the total effective rate was 93.75%.There was significant difference between the two groups(P<0.05).The scores of visual analogue score(VAS) in both groups decreased significantly,and there was significant difference between the two groups(P<0.05).Conclusion Endoscopic posterior rhinotomy is effective in the treatment of allergic rhinitis,which is worthy of clinical application.
作者
杨文娟
郭其云
赵海红
董文汇
刘丽庭
YANG Wenjuan;GUO Qiyun;ZHAO Haihong;DONG Wenhui;LIU Liting(Department of Otorhinolaryngology,Weifang Medical University,Weifang 261053,China;Department of Otolaryngology,Weifang People' s Hospital)
出处
《潍坊医学院学报》
2019年第3期179-181,共3页
Acta Academiae Medicinae Weifang
