低温等离子消融治疗持续性变应性鼻炎回顾分析

Retrospective analysis of low-temperature plasma ablation therapy on persistent allergic rhinitis

目的探讨低温等离子消融及YAG激光联合鼻中隔矫正术治疗持续性变应性鼻炎（PAR）的疗效，寻求治疗PAR的辅助手术方法。方法随访随机分组治疗后3年的患者，其中低温等离子消融组127例，YAG激光组118例。应用视觉模拟量表（VAS）对患者鼻塞、流鼻水、喷嚏、鼻痒、眼痒等症状进行术前和术后3年评分，比较两组治疗前后和两组之间疗效。结果低温等离子消融组有效率87．4％，YAG激光组有效率为66．1％，差异有统计学意义（x2=15．74，P〈0．01）。两组术后VAS评分差异均有统计学意义（t=21．24、20．56，均P〈0．01）。结论低温等离子消融治疗PAR明显优于YAG激光，可作为治疗PAR辅助方法之一，且安全性高。

Objective To compare the effect of low-temperature plasma ablation and YAG laser treatment on persistent allergic rhinitis（PAR） after septoplasty and to seek adjunct surgical procedures to tackle PAR. Methods Follow-up was performed three years after randomized grouping on PAR patients （Low-temperature plasma ablation group 127 cases and YAG laser group 118 cases）. Visual Analog Scale（VAS） was used to evaluate symptoms ,such as nasal congestion, running nose, sneezing, nasal itching, eye itching etc preoperatively and postoperatively in order to compare the treatment effectiveness and intergroup difference. Results The efficacy rate of Low-temperature plasma ablation group was 87.4% ,and YAG laser group was 66.1%. The difference was statistically significant（ X2 = 15.74, P 〈 0. 01 ）. The VAS scores for postoperative symptom relief in both groups were significantly different （t = 21.24, 20. 56, all P 〈 0.01 ）. Conclusion As an adjunct treatment approach,low-temperature plasma ablation wa：~ superior to YAG laser in the treatment of PAR with preferable safety.