鼻中隔矫正联合筛前神经射频消融治疗变应性鼻炎伴鼻中隔偏曲的疗效分析

The Curative Effect Analysis of Nasal Septal Reconstruction Combined with Nervus Ethmoidalis Anterior Under Radiofrequency Ablation for Allergic Rhinitis Patients with Septal Deviation

目的探讨鼻中隔矫正联合筛前神经射频消融治疗变应性鼻炎伴鼻中隔偏曲的疗效。方法选取81例就诊于我科的变应性鼻炎伴鼻中隔偏曲患者,随机分为对照组40例和治疗组41例。对照组采用鼻中隔矫正术治疗,治疗组采用鼻中隔矫正联合射频消融治疗。观察两组治疗后3个月、6个月和1年的临床疗效以及并发症情况。结果两组患者术后3个月治疗总有效率比较,差异无统计学意义(P>0.05);治疗组患者术后6个月和术后1年的治疗总有效率分别为85.00%和82.50%,均高于对照组的63.41%和58.54%,差异具有统计学意义(P<0.05)。手术病例均未见鼻中隔穿孔、鼻腔粘连、下鼻甲萎缩等严重并发症。结论相对于单纯鼻中隔矫正术,鼻中隔矫正联合筛前神经射频消融治疗变应性鼻炎伴鼻中隔偏曲的远期疗效明显,安全性较高。

Objective To observe the curative effects of nasal septal reconstruction combined with radiofrequency ablation in treatment of allergic rhinitis patients with septal deviation.Methods81cases of moderate to severe AR patients with septal deviation were recruited and divided into control group(n=41)and observation group(n=40).Patients in control group were treated with nasal septal reconstruction,while patients in observation group received nasal septal reconstruction combined with nervus ethmoidalis anterior under radiofrequency ablation.The curative effects were assessed at3months,6months and1year after operation.Results3months later,there was no significant difference in the total effective rate between the two groups(P>0.05).The total effective rate of treatment in the treatment group was85.00%and82.50%at6months and1year after operation,were higher than the control group of63.41%and58.54%,the difference was statistically significant(P<0.05).No serious complications such as nasal septum perforation,nasal adhesions,and inferior turbinate atrophy were observed in the surgical cases.Conclusion Compared with simple nasal septum correction,the long-term effect of nasal septum correction combined with pre-screening nerve radiofrequency ablation for allergic rhinitis with nasal septum deviation is obvious and safe.