鼻内镜下鼻中隔偏曲矫正联合下鼻甲成形术治疗慢性鼻炎伴鼻中隔偏曲的临床效果

Clinical effect of nasal endoscopic correction of nasal septal deviation combined with inferior turbinoplasty in the treatment of chronic rhinitis with nasal septal deviation

目的探究鼻内镜下鼻中隔偏曲矫正联合下鼻甲成形术治疗慢性鼻炎伴鼻中隔偏曲的临床效果。方法选取联勤保障部队第九〇四医院2020年5月至2022年5月接诊的120例慢性鼻炎伴鼻中隔偏曲患者,采用随机数字表法将其分为对照组(行鼻内镜下鼻中隔偏曲矫正术)和联合组(行鼻内镜下鼻中隔偏曲矫正术联合下鼻甲成形术),各60例。比较两组术前和术后1个月的症状严重程度评分、嗅觉识别阈值、振荡频率为5 Hz时的黏性阻力(R5)、R20及生活质量,比较两组术后3个月内并发症的发生情况。结果术后1个月,两组鼻痒、鼻塞、喷嚏、鼻涕评分及嗅觉识别阈值、R5、R20均低于术前,且联合组低于对照组,差异有统计学意义(P<0.05)。术后1个月,两组鼻部症状、眼部症状、其他症状、行为问题、睡眠障碍、情感障碍、活动受限评分均低于术前,且联合组鼻部症状、眼部症状、其他症状、行为问题、睡眠障碍评分均低于对照组,差异有统计学意义(P<0.05)。术后3个月内,两组均未出现鼻中隔穿孔、脑脊液鼻漏、脓肿、视神经损伤。结论鼻内镜下鼻中隔偏曲矫正术联合下鼻甲成形术有助于患者术后气道功能和嗅觉的恢复,且手术安全性较高,建议临床推广使用。

Objective To explore the clinical effect of nasal endoscopic correction of nasal septal deviation combined with inferior turbinoplasty in the treatment of chronic rhinitis with nasal septal deviation.Methods A total of 120 patients with chronic rhinitis with nasal septal deviation treated by 904th Hospital of Joint Logistics Support Force of the Chinese People’s Liberation Army from May 2020 to May 2022 were selected and divided into the control group(receiving nasal endoscopic correction of nasal septal deviation)and the combined group(receiving nasal endoscopic correction of nasal septal deviation combined with inferior turbinoplasty)by random number table method,with 60 cases in each group.Symptom severity score,olfactory recognition threshold,respiratory resistance at 5 Hz oscillation frequency(R5),R20,and quality of life were compared between the two groups before and one month after surgery,and the occurrence of complications in three months after surgery were compared between the two groups.Results One month after surgery,the scores of nasal itching,nasal congestion,sneezing,nasal discharge,and olfactory recognition threshold,R5,R20 in two groups were lower than those before surgery,and those in the combined group were lower than those in the control group,the differences were statistically significant(P<0.05).One month after surgery,scores of nasal symptoms,eye symptoms,other symptoms,behavioral problems,sleep disorders,emotional disorders,and limited activity in both groups were lower than those before surgery,and scores of nasal symptoms,eye symptoms,other symptoms,behavioral problems,and sleep disorders in the combined group were lower than those in the control group,the differences were statistically significant(P<0.05).No nasal septum perforation,cerebrospinal fluid rhinorrhea,abscess or optic nerve injury was found in the two groups three months after surgery.Conclusion Nasal endoscopic correction of nasal septal deviation combined with inferior turbinoplasty is helpful for postoperative recovery of airway function and olfaction of patients,and the surgical safety is high,it is recommended to be widely used in clinic.