鼻内镜下鼻甲骨折外移压榨术治疗慢性肥厚性鼻炎的临床研究

Clinical research of endoscopic inferior turbinate fracture relocation press in treatment of chronic hypertrophic rhinitis

目的 探讨鼻内镜下鼻甲骨折外移压榨术治疗慢性肥厚性鼻炎的临床疗效.方法 选择慢性肥厚性鼻炎患者66例,按数字表法随机分为两组,观察组33例采用鼻内镜下鼻甲骨折外移压榨术,对照组33例采用下鼻甲黏膜下注射硬化法进行治疗,对比两组临床效果.结果 观察组33例总有效率为93.9％,显著高于对照组的72.7％ （Х^2 =6.23,P＜0.05）；观察组鼻黏膜平均恢复时间为（35±12）d,显著短于对照组的（64±21）d（t=1.74,P＜0.05）；两组治疗前与治疗后3个月糖精清除时间差异均有统计学意义（t=3.21、2.85,均P＜0.05）,两组治疗后差异有统计学意义（t=2.13,P＜0.05）.结论 鼻内镜下鼻甲骨折外移压榨术治疗慢性肥厚性鼻炎疗效满意.

Objective To explore the clinical efficacy of intranasal endoscopic turbinate fracture relocation press in treatment of chronic hypertrophic rhinitis.Methods According to digital table,66 patients with chronic hypertrophic rhinitis were randomly divided into two groups.33 cases in the observation group were treated with endoscopic sinus lateral fracture crush,33 patients in the control group received inferior turbinate submucosal injection of sclerosing treatment.The clinical effect was compared between the two groups.Results The total effective rate of the observation group was 93.9%,which was significantly higher than 72.7% of the control group （Х^2 =6.23,P 〈0.05）.The average nasal recovery time was （35 ± 12）d in the observation group,which was significantly shorter than （64 ± 21） d in the control group （t =1.74,P 〈 0.05）.The SCT test results had statistically significant differences between the two groups before treatment and 3 months after treatment （t =3.21,2.85,all P 〈0.05）.After treatment,the difference was statistically significant between the two groups （t =2.13,P 〈 0.05）.Conclusion Endoscopic turbinate fracture relocation squeezing surgery in the treatment of chronic hypertrophic rhinitis was satisfied.