经蝶窦黏膜下单侧翼管神经切断术治疗鼻黏膜高反应性疾病疗效分析

Analysis the treatment of nasal mucosal hyperreactive rhinopathy via trans-sphenoidal sinus submucous unilateral endoscopic vidian neurectomy

目的分析总结经蝶窦黏膜下单侧翼管神经切断术治疗鼻黏膜高反应性疾病的安全性及有效性。方法回顾性分析陕西中医药大学第二附属医院耳鼻咽喉科2018年10月~2019年7月间采用经蝶窦黏膜下单侧翼管神经切断术治疗鼻黏膜高反应性疾病患者的临床资料。通过临床症状、鼻内镜检查、鼻窦CT及变应原检查,明确相关并发疾病及鼻黏膜高反应性疾病类型,即变应性鼻炎及血管运动性鼻炎。通过病史及视觉模拟量表评分,判断疾病严重程度,选择适合手术的患者。观察术后并发症及手术疗效。结果8例手术患者术后有1例出现眼干症状,均未出现严重鼻出血、鼻干等并发症,术后症状显著改善7例,改善1例,总改善率100%。结论经蝶窦黏膜下单侧翼管神经切断术治疗鼻黏膜高反应性疾病,手术方式简单,翼管定位准确,鼻用设备要求不高,损伤小,疗效确切,是治疗中重度鼻黏膜高反应性疾病的一种有效方法。

OBJECTIVE To summarize the efficacy and safety of trans-sphenoidal sinus submucous unilateral endoscopic vidian neurectomy in the treatment of nasal mucosal hyperreactive rhinopathy.METHODSThe clinical data of trans-sphenoidal sinus submucous unilateral endoscopic vidian neurectomy in the Department of Otolaryngology of the Second Affiliated Hospital of Shaanxi University of traditional Chinese Medicine from October 2018 to July 2019 were analyzed retrospectively.Through clinical symptoms,nasal endoscopy,sinus CT and allergen examination,the allergic rhinitis and vasomotor rhinitis,were identified.The severity of the disease was judged by medical history and visual analog scale score,and the patients suitable for operation were selected.The postoperative complications and the curative effect of operation were observed.RESULTS The postoperative improvement rate of were 100%,but dry eye symptom occurred in 1 of 8 patients after operation.CONCLUSION The method of trans-sphenoidal sinus submucous unilateral endoscopic vidian neurectomy was efficacy and safety in the treatment of nasal mucosal hyperreactive rhinopathy.