鼻中隔偏曲矫正术联合等离子低温射频消融术对患者鼻腔愈合情况及生理功能的影响

Effect of nasal septum deviation correction surgery combined with plasma low temperature radiofrequency ablation on nasal healing and physiological function

目的研究鼻中隔偏曲矫正术联合等离子低温射频消融术对鼻中隔偏曲合并慢性肥厚性鼻炎患者的愈合情况和术后鼻腔生理功能的影响。方法将80例患者分组,患者均采用鼻中隔偏曲矫正术治疗并联合不同下鼻甲成形术,分为传统下鼻甲成形术的对照组,以及等离子低温射频消融术的实验组,对比术后48 h内VAS疼痛量表评分、术后拔除填塞敷料时出血率、术后粘膜上皮化时间、鼻阻力测定和鼻黏膜纤毛功能测定。结果 2组术后48 h内VAS疼痛评分差异无统计学意义(P>0.05);术后拔除填塞敷料时出血率及术后粘膜上皮化时间差异有统计学意义(P<0.05);治疗前,2组鼻阻力检测结果、鼻黏膜纤毛功能差异无统计学意义(P>0.05);2组治疗前后鼻阻力比较差异有统计学意义(P<0.05)。治疗后,实验组纤毛功能未见明显变化,对照组则出现明显损伤,2组鼻黏膜纤毛功能检测结果差异有统计学意义(P<0.05)。结论鼻中隔偏曲矫正术联合等离子低温射频消融术治疗鼻中隔偏曲合并下鼻甲肥大的临床效果显著,患者术后拔除填塞敷料时出血率较对照组更低,术后粘膜上皮化时间短,鼻黏膜纤毛功能保护好。

Objective To study the effect of nasal septum deviation correction surgery com- bined with plasma low temperature radiofrequency ablation on rhinitis healing and nasal physiological function of nasal septum deviation with chronic hypertrophic rhinitis patients. Methods A total of 80 patients were randomly divided into control group with traditional turbinate, and experimental group with low-temperature plasma radio frequency ablation, patients of two groups were treated with nasal septum deviation correction surgery and turbinatoplasty. VAS pain score at 48 h, bleeding rate after dressing removal, epithelialization time, postoperative nasal resistance and nasal mucociliary function were determined. Results VAS pain scale score showed no significant difference in two groups at 48 h after operation （P 〉 0.05 ）. Epithelialization rate and bleeding time after dressing removal showed significant difference （P 〈 0.05 ）. Before treatment, there was no significant difference in nasal re- sistance between the two groups （P 〉 0.05 ）, but it showed significant difference in nasal resistance between the two groups after treatment （ P 〈 0.05 ）. After treatment, the nasal mucociliary function of the experimental group showed no obvious change , while the control group showed obvious damageThere was significant difference in nasal mucociliary function in the two groups （ P 〈 0 . 0 5 ） Conclusion Nasal septum deviation correction surgery combined with plasma low temperature ra- diofrequency ablation can reduce bleeding rate, shorten epithelialization time, and promote nasal mucociliary function.