低温等离子消融联合下鼻甲骨折外移治疗慢性肥厚性鼻炎的近期疗效

Short-term therapeutic effect of low-temperature plasma ablation associated with inferior turbinate lateral fracture on chronic hypertrophic rhinitis

目的比较单纯低温等离子下鼻甲消融和低温等离子消融联合下鼻甲骨折外移治疗慢性肥厚性鼻炎的疗效。方法慢性肥厚性鼻炎患者共73例,分为单纯低温等离子下鼻甲消融组(A组)35例和低温等离子消融联合下鼻甲骨折外移组(B组)38例。分别于术前及术后6个月应用视觉模拟量表(VAS)评价患者的主观症状,同时记录鼻内镜观察下鼻甲至鼻中隔距离测量值。结果术前2组组间各参数比较无明显差异(P>0.05),术后2组组间各参数比较差异均有统计学意义(P<0.05),2组组内术前、术后各参数比较差异均有统计学意义(P<0.05)。结论低温等离子下鼻甲消融联合下鼻甲骨折外移治疗慢性肥厚性鼻炎疗效优于单纯低温等离子下鼻甲消融。

Objective To compare the short-term therapeutic effect of simple low-temperature plasma inferior turbinate ablation and low temperature plasma ablation associated with inferior turbinate lateral fracture on chronic hypertrophic rhinitis. Methods In this prospective study ,73 patients with chronic hypertrophic rhinitis were divided into the control group （ Group A containing 35 patients who underwent the surgery of simple low-temperature plasma inferior turbinate ablation ） and the experimental group （Group B, containing 38 patients who underwent the surgery of low temperatue plasma ablation associated with inferior turbinate lateral fracture）. Visual analogue scale （VAS） was used to evaluate the subjective symptoms before and 6 months after the operation. The distance between inferior turbinate and septum was recorded to represent the width of nasal cavity. Results There were no significant difference both in the VAS scores and the distance from inferior turbinate to septum before operation between the two groups （ P 〉 0.05 ）. But the significant difference was found after operation between the two groups （ P 〈 0. 05 ）. All measurements were significantly different within the two groups before and after operation （P 〈 0. 05 ）. Conclusions For chronic hypertrophic rhinitis, the surgery of low-temperature plasma ablation associated with inferior turbinat lateral fracture was superior to simple low-temperature plasma ablation of the inferior turbinate both in the subjective symptom and objective measurement. （ Chin J Ophthalmol and Otorhinolaryngo1,2013,13 ： 152-154）