下鼻甲成形联合骨折外移术治疗慢性肥厚性鼻炎的临床疗效

Inferior Turbinate Rhinoplasty Combined with Fractured Bone Removal for Chronic Hypertrophic Rhinitis

目的探讨下鼻甲成形联合骨折外移术治疗慢性肥厚性鼻炎患者鼻腔通气功能障碍的临床效果。方法对115例诊断为慢性肥厚性鼻炎致下鼻甲肥大的患者,施行下鼻甲成形联合骨折外移术。结果 115例患者中,显效97例(84.4%),有效16例(13.9%),无效2例(1.7%),总有效率98.3%。随访时间1～3年,平均1.6年,其中复发2例。结论下鼻甲成形联合骨折外移术具有良好的临床效果,并发症少,是一种符合鼻腔生理特征的功能性手术。

Objective To evaluate the curative effect of inferior turbinate rhinoplasty combined with fractured bone removal in patients with chronic hypertrophic rhinitis. Methods A total of 115 patients with inferior turbinate hypertrophy due to chronic hypertrophic rhinitis were treated by inferior turbinate rhinoplasty combined with fractured bone removal. Results Among the 115 patients, the treatment was significant effective in 97 （84.4%） ,effective in 16 （13.9%） and inef- fective in 2 （1. 7%）. The total effective rate was 98. 3%. After a mean follow-up of 1. 6 years （range 1 to 3 years）, the recurrence was found in 2 patients. Conclusion Inferior turbinate rhino- plasty combined with fractured bone removal is an effective operation for chronic hypertrophic rhinitis, and accords with nasal physiological characteristics and results in fewer complications in treating chronic hypertrophic rhinitis. Therefore, the combined method is worthy of clinical gener- alization.