下鼻甲部分切除术和半导体激光术治疗慢性肥厚性鼻炎的疗效比较

Comparation of the Efficacy of Chronic Hypertrophic Rhinitis by Partial Inferior Turbinectomy and Semiconductor Laser Surgery

目的 比较下鼻甲切除术与半导体激光术治疗慢性肥厚性鼻炎的效果。方法 对 5 3例行下鼻甲部分切除术和 62例行半导体激光术治疗的慢性肥厚性鼻炎患者进行回顾性分析。结果 半导体激光治疗组的总有效率为 87 1% ,下鼻甲部分切除术组总有效率 90 4% ,两组比较无显著性差异 ( χ2 =0 3 4,P <0 0 5 ) ;半导体激光治疗组术后并发症明显少于下鼻甲部分切除术组 ( χ2=19 3 2 ,P <0 0 1) ;下鼻甲部分切除术组的术后鼻塞天数 ( 3 9± 0 6)d明显长于半导体激光治疗组 ( 1 9± 0 4)d (t =3 93 ,P <0 0 1)。结论 半导体激光术与下鼻甲切除术均是治疗慢性肥厚性鼻炎的有效方法 ,但半导体激光术具有更为简单 ,并发症少 ,术后反应轻等特点。

Objective To compare the efficacy of chronic hypertrophic rhinitis by partial inferior turbinectomy and using semiconductor laser surgery .Methods The efficacy of 53 chronic hypertrophic rhinitis patients with partial inferior turbinectomy(groupⅠ) and 62 patients treated with semiconductor laser surgery(groupⅡ) were analyzed retrospectively.Results the total effective rate of the groupⅠ treated by semiconductor laser surgury was 87 1% and groupⅡ treated by partial inferior turbinectomy was 90 4%. There was no significant difference (P<0 05). The postoperative complications in groupⅡ was lesser than that in the groupⅡ obviously(P<0 01 ). The time of postoperative nasal obstruction of groupⅠ was longer than that in the groupⅡ obviously(t=3 63,P<0 01). Conclusions Both the operative methods applied to treat the chronic hypertrophic rhinitis could obtain good efficacy.But semiconductor laser surgury have better advantages,such as easy to operate, less complication and less harmful reaction of postoperation and so on.