变态反应性鼻炎等离子射频治疗的临床疗效分析

The clinically comparative study on the treatment of plasma radiofrequency breaking to the ethmoidal nerve and ablating concha nasalis inferior under endoscope and microwave on allergic rhinitis

目的探讨鼻内镜等离子筛前神经切断加下鼻甲消融术治疗变应性鼻炎的，临床疗效。方法98例变应性鼻炎患者分成治疗组及对照组，按各组方案分别予以鼻内镜等离子筛前神经切断加下鼻甲消融术与微波治疗，观察两组，临床疗效。结果治疗组总有效率94％、显效率78％，对照组分别为68．8％及39．6％，治疗组疗效明显高于对照组（P〈0．01）。结论鼻内镜等离子筛前神经切断加下鼻甲消融术治疗变应性鼻炎，治疗部位准确、术中出血少、不良反应轻、并发症少、疗效显著，具有较好的，临床应用价值。

Objective To investigate the therapeutic effect on allergic rhinitis （AR） with plasma radiofrequency breaking to the eth-moidal nerve and ablating concha nasalis inferior under endoscope. Methods 98 cases with AR were included in this study, which were randomly divided into 2 groups. The treating group was treated with plasma radiofrequency breaking to the ethmoidal nerve and ablating concha nasalis inferior under endoscope, the control group was treated with microwave. Results The total and significantly effective rates were 94% and 78% in the treating group, 68.8% and 39.6% in the control group. The therapeutic effect of the treating group were obviously higher than that in the control group （ P 〈 0. 01 ）. Conclusion The therapy of plasma radiofrequency breaking to the ethmoidal nerve and ablating concha nasalis inferior in the AR treatment under endoscope had the advantage of little bleeding, no serious adverse effect and complication, significantly effective and fine clinical application.