低温等离子射频消融术治疗代偿性下鼻甲肥大

Treatment of compensatory turbinate hypertrophy with radiofrequency ablation

目的探索代偿性下鼻甲肥大的有效治疗方法。方法对我科105例鼻中隔偏曲伴代偿性下鼻甲肥大患者采用鼻内镜下鼻中隔矫正术后随机分为两组,50例单纯行下鼻甲外移术,55例下鼻甲外移术后在鼻内镜下对肥大的下鼻甲行低温等离子射频消融术。术后采用视觉模拟评分法(visual analogue scale,VAS)评价患者主观的鼻塞感觉。结果随访1～3个月、4～6个月、6个月以上,对不同阶段疗效进行评价。随访6个月以上时,治疗组疗效优于对照组,有统计学意义。结论鼻内镜下低温等离子射频消融术在对肥大下鼻甲外移后,能满意的处理代偿性下鼻甲肥大,是一种有效缓解鼻塞症状的方法。

OBJECTIVE To evaluate the efficacy of radiofrequency ablation on treatment of compensatory turbinate hypertrophy. METHODS A total of 105 patients enrolled in the study. Fifty cases only accepted the relocation of inferior turbinate and 55 cases accepted radiofrequency ablation of inferior turbinate during nasal septum deviation surgery under nasal endoscope. The preoperative and postoperative nasal obstructions were assessed with visual analogue scale （VAS） . RESULTS The outcome of 105 patients undergoing different operation for below 1 months, 3~6 months, above 6 months after operation were recorded. The results of treatment group were better than that of the control group. CONCLUSION The use of radiofrequency ablation for the treatment of compensatory turbinate hypertrophy is an effective method for reducing symptoms of nasal obstruction after relocation of inferior turbinate.