射频刀治疗酒渣鼻的临床观察

Clinical observation on radiofrequency scalpel in the treatment of rhinophyma

目的探讨射频刀切削治疗鼻赘期酒渣鼻的疗效。方法确诊为鼻赘期酒渣鼻患者23例，分为射频刀组13例和常规手术组10例。射频刀组用射频刀切削治疗，常规手术组用手术刀切削＋磨削治疗，对比分析两组手术时间、术中出血量、手术创面愈合时间、术区红斑持续时间、术后瘢痕发生率、术后外貌改善值。结果两组病例全部完成治疗，与常规手术组比较，射频刀组手术时间显著缩短（24．4±2．8min比44．0±4．7min）、术中出血量明显减少（10．4±1．4ml比39．0±5．7ml），差异均有统计学意义（P〈0．01）。两组的手术创面愈合时间、术区红斑持续时间、术后外貌改善值及瘢痕发生率比较，差异均无统计学意义。结论射频刀切削方法能安全有效治疗鼻赘期酒渣鼻，且手术时间短，术中出血少。

Objective To assess the efficacy of radiofrequency scalpel in the treatment of rhinophyma. Methods Twenty-three patients diagnosed with rhinophyma were randomly divided into radiofrequency group （13 patients） and routine surgery group （10 patients）. Hypertrophic nasal tissue was removed by a radiofrequency scalpel in the radiofrequency group, and by a scalpel followed by dermabrasion in the routine surgery group. Several parameters, including operation time, intraoperative blood loss, surgical wound healing time, postoperative erythema duration, scarring incidence rate and appearance improvement value, were compared by t test or chi-square test between the two groups. Results All the patients completed the treatment. Compared with the routine surgery group, the radiofrequency group showed shorter operation time （（24.4 ± 2.8） vs. （44.0 ± 4.7） minutes, P 〈 0.01 ） and less blood loss （（10.4 ± 1.4） vs. （39.0 ± 5.7） ml, P 〈 0.01）. No significant difference was observed in the surgical wound healing time, erythema duration, postoperative appearance improvement value and scarring incidence between the two groups. Conclusion Radiofrequency scalpel is effective and safe in the treatment of rhinophyma with shorter operation time and less intraoperative blood loss.