低温等离子消融联合下鼻甲骨折外移术治疗慢性肥厚性鼻炎对鼻通气功能的影响

Effects of nasal cavity ventilational function at low temperature plasma ablation and lateral fracture in treatment for nasal spetum deviation with chronic hypertrophic rhinitis

目的：观察低温等离子消融联合下鼻甲骨折外移术治疗慢性肥厚性鼻炎对鼻通气功能的影响。方法：应用NR6鼻阻力仪、A1鼻声反射仪和NV1鼻呼吸量仪,对40例慢性肥厚性鼻炎合并鼻中隔偏曲患者术前及术后1年进行测试,记录鼻气道阻力（NAR）、0~5cm鼻腔容积（NCV）、鼻腔最小横截面积（NMCA）、鼻呼吸量（NS）,结合视觉模拟量表（VAS）评定患者鼻通气功能情况,并对术后各测试值之间进行相关分析。结果：术后患者的NCV、NMCA、NS值高于术前,VAS、NAR值较术前降低（P〈0.05）;术后VAS与NCV、NMCA、NS呈负相关（r=-0.472、-0.698、-0.586,P〈0.05）,VAS与NAR呈正相关（r=0.877,P〈0.05）;术后NAR与NCV、NMCA、NS均呈负相关（r=-0.464、-0.870、-0.707,P〈0.05）;术后NS与NCV、NMCA均呈正相关（r=0.442、0.741,P〈0.05）。结论：对鼻中隔偏曲较轻、范围较小、偏曲的部位较靠后且偏曲侧下鼻甲无明显受压变形的慢性肥厚性鼻炎患者,低温等离子消融联合下鼻甲骨折外移术可有效改善鼻通气功能,术后测试值之间存在良好的相关性。

Objective：To observe the outward flow of low temperature plasma ablation combined inferior turbinate fracture treatment for chronic hypertrophic rhinitis nasal ventilation function.Method：NR6nasal resistance meter and A1 nasal sound reflection instrument were used to test 40 patients of Hypertrophic rhinitis nasal septum deviation merger before and after operation for one year,recording the nasal airway resistance,0to 5cm nasal cavity volume and the nasal minimum cross-sectional area,combine visual analog scale to analyze the changing parameter value,and to analyze the test values between the correlation.Result：Postoperative patients of NCV,NMCA,NS value was higher than that of preoperative,VAS,NAR value compared with preoperative lower（P〈0.05）;Postoperative VAS was negatively correlated with NCV,NMCA,NS（r=0.472,0.698,0.586,P〈0.05）;VAS was positively related with NAR（r=0.877,P〈0.05）;Postoperative NAR was negatively correlated with NCV,NMCA and NS（r=-0.464,-0.870,-0.707,P〈0.05）;there was a positive correlation between postoperative NS and NCV,NMCA（r=0.442,0.741,P〈0.05）.Conclusion：On the deflection of nasal septum（lighter,smaller scale,the part of the deflection of a back with no obvious compressive deformation and lateral deflection of inferior turbinate）in patients with chronic hypertrophic rhinitis,low temperature plasma ablation combined offshoring inferior turbinate fracture surgery can effectively improve the nasal ventilation function,there is a good correlation between postoperative test values.