聚焦超声与低温等离子治疗伴鼻中隔偏曲的变应性鼻炎疗效比较

Comparation of low-temperature plasm radiofrequency and high-intensity focused ultrasound therapy on allergic rhinitis patients with nasal septal diviation

目的:比较聚焦超声与低温等离子治疗伴有鼻中隔偏曲的常年变应性鼻炎(PAR)的临床疗效。方法:回顾研究224例伴有鼻中隔偏曲的PAR患者,其中聚焦超声治疗组84例,低温等离子治疗组140例。于治疗后15 d、6个月进行病情随访,用记分法分别评定其疗效,病理学检查了解治疗后黏膜组织改变。结果:术后15 d聚焦超声治疗组治疗有效率为97.1%,低温等离子治疗组为90.4%;术后6个月聚焦超声治疗组有效率为90.7%,低温等离子治疗组为85.4%。病理学检查示:聚焦超声治疗组下鼻甲黏膜有很好的完整性,低温等离子组下鼻甲黏膜基底膜可出现部分断裂及远期瘢痕。结论:聚焦超声治疗组较低温等离子治疗组对过敏性鼻炎疗效更优,尤其对下鼻甲黏膜保护更好。

Objective： To compare the therapeutic effects of low-temperature plasm radiofrequency and high-intensity focused ultrasound in treatment of perennial allergic rhinitis（PAR） complicated with nasal septum deviation.Method：A total of 224 cases of identified PAR who treated in our hospital were randomly divided into 2 matched groups： low-temperature plasm radiofrequency group（n=140） and high-intensity focused ultrasound group（n=84）.The therapeutic effection were evaluated by clinical symptoms controlled counting-scores.Inferior turbinate mucosa were collected and examined pathologically before and at 15 days and 6 months after the therapy.Result：The follow-up data indicated the effective rate in 15 days was 97.1% in high-intensity focused ultrasound group,and 90.4% in low-temperature plasm radiofrequency group,in 6 months was 90.7% and 85.4% respectively.Conclusion：The treatment of high-intensity focused ultrasound in PAR is minimally invasive and safe with reliable efficacy.