鼻声反射在射频治疗鼻阻塞中的价值

Clinical use of acoustic rhinometry guiding radiofrequency to treat nasal obstruction

目的:探讨鼻声反射在射频治疗鼻阻塞中的价值。方法:根据鼻声反射测试结果定位,应用射频治疗46例鼻阻塞患者。结果:射频治疗前,鼻腔最小横截面积、下鼻甲前端截面积、鼻腔容积和鼻阻力分别为(0.37±0.16)cm2、(1.10±0.17)cm2、(5.76±2.81)cm3和(5.96±2.24)kPa.s/L;射频治疗后分别为(0.68±0.18)cm2、(1.76±0.19)cm2、(9.10±2.10)cm3和(2.42±0.86)kPa.s/L。射频治疗前后对比差异有统计学意义(P<0.05)。46例患者中,治愈27例,好转19例,有效率为100%。结论:鼻声反射指导射频治疗鼻阻塞有助于鼻阻塞的定位及提高疗效。

Objective：To investigate the value of acoustic rhinometry in treating patients with nasal obstruction by radiofrequency（RF）. Method： The clinical results of 46 Nasal obstruction cases treated by RF were analyzed. The therapy area were determined by acoustic rhinometry. Result：Pretherapy：mean nasal cross-sectional area （NMCA）（0.37±0. 16）cm^2 , the front part of inferior nasal concha minimal cross-sectional erea （MCA） （1.10± 0. 17）cm^2 ,volume of nasal cavity（NV） （5.76 ±2.81） cm^3 , nasal resistaaee（NR） （5.96±2. 24） kPa · s/L. Post therapy ：NMCA（0. 68±0. 18）cm^2 ,MCA（1.76±0.19）cm^2 , NCV （9.10± 2.10）cm^3 , NR（2. 42±0. 86） kPa·s/ L. For 46 cases, there were remarkable improvements between pretherapy and post therapy （ P〈0.05）. Twenty-seven cases were cured, 19 cases were improved, total effectiveness rate were 100%. Conclusion： RF therapy guided by acoustic rhinometry may help determine the therapy area and improve the effectiveness.