【摘要】 目的分析慢性肥厚性鼻炎鼻内镜下不同手术方式的临床疗效。方法 2012年1至12月期间诊断为慢性肥厚性鼻炎的89例手术患者作为研究对象,随机分成2组,其中双下鼻甲等离子消融术47例,双下鼻甲粘骨膜下部分切除术42例,分析2种不同手术方法的临床优缺点。结果经双下鼻甲等离子消融术的47例患者中,双侧下鼻甲粘膜肥厚为主的25例患者中22例治愈,3例好转,以下鼻甲骨质增生明显的22例中12例好转,10例无效;双下鼻甲粘骨膜下部分切除的42例中,双侧下鼻甲粘膜肥厚为主的20例中8例治愈,11例好转,1例无效,骨质增生为主的22例中20例治愈,2例好转。结论对于以下鼻甲粘膜肥厚为主的慢性肥厚性鼻炎,等离子消融术治疗效果更佳,而以骨质增生为主的慢性肥厚性鼻炎,则选择行下鼻甲粘骨膜下部分切除。更多还原

【Abstract】 Objective To Analysis the clinical curative effect of chronic hypertrophic rhinitis with nasal endoscopic by different ways of operations.Methods During January to December of 2012,89 cases of chronic hypertrophic rhinitis patients which were treated with surgery were selected as the research object,then divided into 2 groups randomly,plasma radiofrequency of double inferior turbinate 47 cases,partial resection of double inferior turbinate sticky periosteal 42 cases,analysis of the clinical advantages and disadvantages of these two different surgical methods.Results In plasma radiofrequency of double inferior turbinate 47 cases,the mucosa hypertrophy inferior turbinate were 25 cases,and 22 cases were cured,3 cases were improved,the turbinate bone hyperplasia significantly were 22 cases,12 cases were improved,10 cases were invalided;In partial resection of double inferior turbinate sticky periosteal 42 cases,the mucosa hypertrophy inferior turbinate were 20 cases,and 8 cases were cured,11 cases were improved,1 case was ineffective,the turbinate bone hyperplasia significantly were 22 cases,20 cases were cured,2 cases improved.Conclusion For the mucosa hypertrophy inferior turbinate of chronic hypertrophic rhinitis,plasma radiofrequency treatment effect is better,but for the turbinate bone hyperplasia significantly,which should select partial resection of double inferior turbinate sticky periosteal.更多还原