鼻内镜下翼管神经切断术进展

Progress of transnasal endoscopic vidian neurectomy

20世纪70年代及80年代初期翼管神经切断术被国内外广泛用于治疗顽固性血管运动性鼻炎以及难治性变应性鼻炎,但是因为其严重的并发症而逐渐被弃用,尤其是20世纪90年代初鼻用糖皮质激素以及免疫疗法的兴起,使得内科治疗成为主流,近年来随着鼻内镜技术的发展以及内科治疗逐渐显示出局限性,鼻内镜下翼管神经切断术因其优越性被越来越多实践于临床,并发展出诸多不同术式,现就近年来鼻内镜下翼管神经切断术的相关进展情况做一综述。

In the 1970s and early 1980s, vidian neurectomy was widely used for the treatment of intractable vasomotor rhinitis and refractory allergic rhinitis ; however, it was gradually abandoned because of the serious complications associated with this procedure and the rise of nasal glucocorticoids and immunotherapy in the early 1990s. The developments in nasal endoscopy and internal medi- cine treatment have revealed the limitations of traditional vidian neurectomy, and the great advantages of transnasal endoscopic vidi- an neurectomy compared to traditional vidian neurectomy have also been elucidated; thus, an increasing number of surgeons have been performing transnasal endoscopic vidian neurectomy recently and many different operating methods have also been subsequently developed. This review focuses on the progress related to transnasal endoscopic vidian neurectomy in recent years.