鼻内镜下鼻后神经切断术治疗中重度持续性变应性鼻炎的疗效观察

A study of the curative effect of endoscopic-assisted posterior nasal neurotomy on patients with moderate-severe persistent allergic rhinitis

目的:探讨鼻内镜下鼻后神经切断术治疗中重度持续性变应性鼻炎(AR)的方法及疗效。方法:对32例药物治疗及脱敏治疗效果欠佳的中重度持续性AR患者行鼻内镜下鼻后神经切断术,根据常年性AR的诊断及疗效评定标准,通过计分法评定其疗效。结果:术后1年进行随访评价,其中显效17例(53.1%),有效15例(46.9%),总有效率100%。无出血、眼干等并发症。结论:鼻内镜下鼻后神经切断术治疗中重度持续性AR,具有鼻后神经定位清楚、操作方便、短期疗效显著、并发症少等优点,对药物及特异性免疫治疗失败者更值得应用。

Objective：To investigate the feasibility and effect of endoscopic-assisted posterior nasal neurotomy on patients with moderate-severe persistent allergic rhinitis （AR）. Method： Endoscopic-assisted posterior nasal neurotomy were operated on 32 moderate-severe persistent AR patients who were insensitive to drugs and desensitization treatment, and curative effect were evaluated by scoring according to the diagnosis and curative effect evaluation standard of AR. Result： Follow-up evaluations were perfected after one year. Among them 17 cases were markedly effective, 15 cases were effective, and the rate of total effective was 100%, without complications such as nose bleeds, dry eye, etc. Conclusion：The advantages of endoscopic-assisted posterior nasal neurotomy on mod- erate-severe persistent allergic rhinitis patients include the localization of posterior nasal nerve is clear, easy to operate, the short-term effect is remarkable, and less complications, therefore it＇s worth using on the AR patients who are failing in drugs and specific immune treatment.