中鼻甲减容术对治疗嗅觉减退的临床研究

Clinical Study of Middle Turbinate Volumetric Tissue Reduction on Hyposmia

目的 探讨分析中鼻甲减容术对嗅觉功能的影响。方法 将2018年1月至2021年1月60例慢性肥厚性鼻炎患者纳入研究,按随机数字表法将患者分为A组(n=30)与B组(n=30)。A组行鼻内镜下下鼻甲减容术治疗;B组患者行鼻内镜下下鼻甲联合中鼻甲减容成形术治疗。结果 A组与B组术后的鼻气道阻力、嗅觉功能评分低于术前水平,且B组术后的鼻气道阻力、嗅觉功能评分比A组低(P<0.05)。B组有效率高于A组(P<0.05)。结论 在慢性肥厚性鼻炎患者中行中鼻甲减容术治疗可以改善患者通气功能,促进患者嗅觉恢复,其疗效确切,值得推广使用。

Objective To investigate the effect of middle turbinate volumetric tissue reduction on olfactory function.Methods From January 2018 to January 2021,60 patients with chronic hypertrophic rhinitis were selected as object of study and divided them into A group(n=30)and B group(n=30)according to random number table methods.A group was treated with endoscopic inferior turbinate volumetric tissue reduction,while B group was treated with endoscopic inferior turbinate volumetric tissue reduction and middle turbinate volumetric tissue reduction.Results The nasal airway resistance and olfactory function scores in A group and B group after operation were lower than those before operation,and the nasal airway resistance and olfactory function scores after operation in B group were lower than those in A group(P<0.05).The total effective rate in B group was higher than that in A group(P<0.05).Conclusions Middle turbinate volumetric tissue reduction in the treatment of patients with chronic hypertrophic rhinitis can improve the ventilation function and promote olfactory recovery and has obvious efficacy,which is worthy of popularization and application.