鼻部手术配合微波热凝治疗变应性鼻炎

Nasal Operation Coupled With Microwave Heat Coagulation For the Treatment of Allergic Rhinitis

目的 :通过对照治疗观察鼻中隔黏膜下切除术配合微波热凝治疗变应性鼻炎的疗效。方法 :60例符合手术指征的鼻中隔偏曲伴有变应性鼻炎的患者 ,随机分为两组 ;一组常规局麻下行中隔手术后 ,配合微波热凝鼻甲、鼻丘及筛前神经的外侧支为治疗组 ;另一组常规按教科书手术为对照组 ,术后均随访 1年。结果 :治疗组显效率 83 33% ,无效率 3 33% ,复发率 3 4 4 % ,对照组显效率 5 3 33% ,无效率 10 % ,复发率14 82 %。P <0 0 1。结论 :此法优于对照组 ,显效率高 ,复发率低。术中及术后出血少 。

Objective:To assess the effects of nasal operation coupled with microwave heaet coagulation on allergic rhinitis and compared with control group.Methods:We randomly classify the 60 cases with deviation of nasal septum according with operation indications end with allergic rhinitis into two groups.For one group,we carry out submucons vesection of nasal septum coupled with mierowave haeat coagulation for nasal conchae,agger nasi and anterior ethmoid nerve using regular local anaesthesia.This group is treatment group.For another group,we carry out regular operation according to textbook.This group is called control group.After operation,we follow them up for one year.Results:For treatment group,the dominant effective rate is 83.33%;the ineffective rate is 3.33%;the recurrent rate is 3.44%.For control group,the dominant effective rate is 53.33%;the ineffective rate is 10%;the recurrent rate is 14.82%. (P<0.05). Conclusion:This method is better than the control group,the dominant effective rate is high,the recurrent rate is low ,There is little hemorrage in and after operation,and the post operative effect is good.