鼻内镜下功能性下鼻甲成型术治疗慢性肥厚性鼻炎的效果

Effect of functional inferior turbinate plasty under nasal endoscope on chronic hypertrophic rhini

目的探讨鼻内镜下功能性下鼻甲成型术治疗慢性肥厚性鼻炎的效果。方法选取我院2015年1月～2016年12月收治的100例慢性肥厚性鼻炎患者作为研究对象,按照手术方法不同分为研究组(50例)和对照组(50例)。对照组采用鼻内镜下鼻甲部分切除术,研究组采用鼻内镜功能性下鼻甲成型术。比较两组的手术相关指标、手术效果及术后并发症情况。结果研究组术后1个月治疗总有效率与对照组比较,差异无统计学意义(P>0.05),研究组术后6、12个月治疗总有效率均高于对照组,差异有统计学意义(P<0.05);研究组手术时间、水肿时间均短于对照组(P<0.05);研究组一氧化氮(NO)、C-反应蛋白(CRP)指标均低于对照组(P<0.05);研究组术中出血量少于对照组(P<0.05);研究组术前及术后1个月的鼻阻塞视觉模拟(VAS)评分、总鼻阻力测定值均与对照组比较,差异无统计学意义(P>0.05),研究组术后6及12个月的鼻阻塞VAS评分、总鼻阻力测定值均低于对照组(P<0.05);研究组术后并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论与下鼻甲部分切除术治疗比较,用鼻内镜功能性下鼻甲成型术治疗慢性肥厚性鼻炎的远期效果更佳,且术后并发症发生率更低,可有效改善患者的生活质量。

Objective To investigate the effect of functional inferior turbinateplasty under nasal endoscope in the treatment of chronic hypertrophic rhinitis.Methods A total of 100 patients with chronic hypertrophic rhinitis admitted to our hospital from January 2015 to December 2016 were enrolled in the study group.Based on different surgical methods,the patients were divided into study group and control group,50 cases in each group.In the control group,partial turbinate resection under nasal endoscope was performed,while in the study group,functional inferior turbinateplasty under endoscope was adopted.The surgical related indexes,surgical results and postoperative complications were compared between the two groups.Results The total effectiveness rate of the study group was not different from that of the control group at one month after operation(P >0.05).The total effectiveness rate of the study group was superior to that of the control group 6 and 12 months after operation(P<0.05).The operation time and edema time were both shorter in the study group than that in the control group(P<0.05).The nitric oxide(NO)and C-reactive protein(CRP)indexes in the study group were lower than those in the control group(P<0.05).The blood loss in the study group was lower than that in the control group(P<0.05).The visual analog scale(VAS)of nasal resistance scores and total nasal resistance measurements were not different from the control group before surgery and one month after surgery(P >0.05).While 6 and 12 months after surgery,the VAS of nasal resistance and total nasal resistance measurements were lower than those in the control group(P<0.05).The incidence of postoperative complications in the study group was lower than that in the control group(P<0.05).Conclusion Compared with the treatment of partial inferior turbinate resection,the long-term effect of endoscopic functional inferior turbinateplasty for chronic hypertrophic rhinitis is better,and the incidence of postoperative complications is lower,which can effectively improve the quality of life of patients.