低温等离子消融术治疗慢性肥厚性鼻炎临床疗效观察

Observation on Clinical Efficacy of Hypothermia Radiofrequency Ablation for the Treatment ofChronic Hypertrophic Rhinitis

【目的】观察低温等离子消融术治疗慢性肥厚性鼻炎的疗效。【方法】对120例慢性肥厚性鼻炎患者，均在鼻内镜直视下行下鼻甲等离子消融术，术后随访12个月，术前和术后进行鼻塞症状的VAS评分、鼻内镜观察鼻腔通气程度的改善情况。【结果】患者术前鼻塞VAs评分为（8．15士0．46）分，术后12个月为（3．25±0．75）分，术后与术前比较差异有统计学意义（P＝0．000）。总有效率为95．83％，仅2例老年患者未定期复查而发生鼻腔粘连，3例因严重过敏性鼻炎影响了疗效，术后未出现鼻出血、嗅觉下降及萎缩性鼻炎并发症。【结论】低温等离子消融术是治疗慢性肥厚性鼻炎的有效方法，其并发症小，符合功能化、微创化的原则，值得临床推广。

[Objective]To observe the efficacy of hypothermia radiofrequency ablation for the treatment of chronic hypertrophic rhinitis. [Methods] Totally 120 patients with chronic hypertrophic rhinitis underwent radioffequency ablation of inferior concha under nasal endoscope. All patients were followed up for 12 months af- ter the operation. Visual analogue scale（VAS） of nasal obstruction before and after the operation was scored. Endoscopy was used to examine the improvement of the ventilation of nasal cavity. [Results] The VAS scores of nasal obstruction before and 12 months after operation was 8.15 =t= 0.46 and 3.25 ＋ 0.75 respectively, and there was significant difference between before and after operation（ P = 0. 000）. The total effective rate was 95.83 %. Only 2 elderly patients without regular recheck had synechia nasal. The efficacy of 3 patients with serious allergic rhinitis was influenced. No complications such as nasal bleeding, the descending of smell and a trophic rhinitis occurred. [Conclusion] Hypothermia radiofrequency ablation for the treatment of chronic hy pertrophic rhinitis is an effective method, and has less complication, and accords with the functional and micro- invasive principle. Therefore it is worthy of clinical promotion.