低温等离子射频消融术与微波治疗慢性肥厚性鼻炎的疗效比较

Radiofrequency Ablation and Microwave Treatment of Chronic Hypertrophic Rhinitis

慢性肥厚性鼻炎治疗分二组,A组为低温等离子射频消融,B组为微波治疗,每组32例。结果全部患者术中均未出现剧烈疼痛、大出血等情况,术后2～4周痂皮基本排出。A组术后的总有效率达93.75%,明显高于B组,P<0.05为有显著性差异。两组主观鼻塞感觉评分均较治疗前明显降低,且A组较B组降低更明显,术后A组的副作用出现例次评分也明显低于B组,差异有统计学意义(P<0.05或P<0.01)。低温等离子射频消融术具有治疗精确,患者痛苦小,安全,值得推广。

64 patients with chronic hypertrophic rhintis were randomly divided into two groups： A group and B group, each group had 32 cases. We used low temperature plasma radiofrequency ablation for treatment of A group,and microwave treatment of group B concurrently. The results showed that all patients did not have severe pain and hemorrhoea during operation. And the crustas amostly had exfoliated after 2 to 4 weeks from postoperation The total effective rate of Group A reached 93.75%, which is significantly higher than group B （P 〈0.05 ）. Subjective stuffy feeling score of the two groups were significantly lower than that before treatment, and group A decreased more strikingly than group B. Furthermore, the side effects of Group A were also significantly lighter than that of group B （P 〈0.05 or P 〈0.01）. The low-temperature plasma radiofrequency ablation for the treatment of chronic hypertrophic rhinitis has the advantages of a precise treatment, little pain and safety performance, which is worthy of promotion and application.