等离子消融术治疗变应性鼻炎伴鼻息肉Ⅰ期与Ⅱ期疗效比较

Plasma Ablation Treatment of Allergic Rhinitis with Nasal Polyps Stage Ⅰ and Stage Ⅱ Comparison of Efficacy

目的:探讨低温等离子消融术的手术适应证,治疗变应性鼻炎伴鼻息肉的疗效及其不良反应。方法:将变应性鼻炎伴鼻息肉患者分为两组,治疗组58例,为变应性鼻炎伴鼻息肉I期;对照组58例为变应性鼻炎伴鼻息肉II期或II期以上。两组均采用鼻内镜下低温等离子消融术。结果:治疗组总有效率96.55%,治愈率为13.79%;对照组总有效率为77.59%,治愈率为1.72%。两组总有效率比较差异有统计学意义(字2=9.26,P<0.01)。治愈率比较差异有统计学意义(字2=4.34,P<0.05)。结论:鼻内镜下低温等离子消融术能改善、恢复鼻通气、窦通气和保证鼻窦引流通道,对解剖有异常则难以纠正,对变应性鼻炎伴较严重鼻息肉效果差。

Objective:To investigate the low-temperature plasma ablation of surgical indications,the treatment of allergic rhinitis with nasal polyps,adverse reactions.Methods:Allergic rhinitis with nasal polyps were divided into two groups,58 patients treated for allergic rhinitis with nasal polyps Phase I;the control group 58 cases of allergic rhinitis with nasal polyps II or II above.Both groups were low-temperature plasma endoscopic ablation.Results:The treatment group total effective rate 96.55%,cure rate was 13.79%;the control group total effective rate was 77.59%,the cure rate was 1.72%.Two groups of the total efficiency of the differences were statistically significant(字2 = 9.26,P<0.01).The cure rate had a significant difference(字2 = 4.34,P<0.05).Conclusion:Eendoscopic low-temperature plasma ablation can improve,restore nasal,sinus ventilation and ensure the sinus drainage channel,the anatomical abnormalities are difficult to correct,for perennial allergic rhinitis with nasal polyps effect is more serious.