鼻内镜下改良下鼻甲成形术治疗慢性肥厚性鼻炎的临床分析

Endoscopic Modified Inferior Turbinoplasty in Treatment of Chronic Hypertrophic Rhinitis

目的探讨鼻内镜下改良下鼻甲成形术、鼻内镜下下鼻甲部分切除术在慢性肥厚性鼻炎中的疗效。方法收集我院耳鼻喉科的80例下鼻甲肥大且鼻部CT显示下鼻甲骨肥厚或下鼻甲骨高拱的慢性肥厚性鼻炎患者。所有患者随机分为A组和B组,每组各40例。A组进行鼻内镜下改良下鼻甲成形术,B组进行鼻内镜下下鼻甲部分切除术。比较两组临床疗效。结果A组术后鼻腔通气时间、黏膜恢复时间、住院时间、术后药物治疗时间和病情恢复时间低于B组,差异具有统计学意义(P均<0.05)。术后并发症发生率A组少于B组,差异具有统计学意义(P<0.05)。随访观察3个月,A组有效率97.5%,B组有效率87.5%;随访6个月时,A组有效率100%,B组有效率85%。随访3个月、6个月时,A组有效率显著高于B组(P<0.05)。结论鼻内镜下改良下鼻甲成形术治疗慢性肥厚性鼻炎的效果显著优于鼻内镜下下鼻甲部分切除术,值得临床推广。

Objective To evaluate the post operative outcome of endoscopic modified inferior turbinoplasty and partial inferior turbinectomy under nasal endoscopy in patients with chronic hypertrophic rhinitis.Methods 80 cases of chronic hypertrophic rhinitis with hypertrophic inferior turbinate and nasal CT showing hypertrophy of inferior turbinate or high arch of inferior turbinate were collected from the Department of otolaryngology in our hospital.All patients were randomly divided into group A and group B,with 40 cases in each group.Group A were received endoscopic modified inferior turbinoplasty and Group B were received partial inferior turbinectomy under nasal endoscopy.Results The postoperative nasal ventilation time,mucosal recovery time,hospital stay,postoperative drug therapy time and disease recovery time in group A were lower than those in group B,and the differences were statistically significant(P<0.05).The incidence of postoperative complications in group A was less than that in group B,and the difference was statistically significant(P<0.05).The effective rate was 97.5%in group A and 87.5%in group B.After 6 months of follow-up,the effective rate was 100%in group A and 85%in group B.The effective rate of group A was significantly higher than that of Group B(P<0.05)at 3 and 6 months follow-up.Conclusion The effect of endoscopic modified inferior turbinoplasty in the treatment of chronic hypertrophic rhinitis is significantly better than partial inferior turbinectomy under nasal endoscopy,which is worthy of clinical promotion.