Objective: In this study we aimed to compare the effects of submucosal cauterization of the inferior turbinate with or without inferior partial turbinectomy. Materials and methods: In this prospective cohort study, 60...Objective: In this study we aimed to compare the effects of submucosal cauterization of the inferior turbinate with or without inferior partial turbinectomy. Materials and methods: In this prospective cohort study, 60 patients with inferior turbinate hypertrophy were randomized and divided into two groups. The first one was submitted to submucosal cauterization associated with partial turbinectomy, and the second one only submucous cauterization. Five items were assessed to compare both methods: pain, nasal bleeding, scarring, crustation and nasal air way patency. Follow-up was performed on days 1, 14, 30 and 3 months later. Results: In both groups crusting formation was similar. Reactionary hemorrhage was more common in turbinectomy group. Scarring showed better results in the turbinectomy group in the first month postoperative, airway patency showed good results in 80% of the patients with turbinectomy. Conclusion: Submucosal cauterization with inferior partial turbinectomy has yielded better nasal patency when compared to submucosal electrocautery ablation alone.展开更多
目的比较不同鼻内镜下手术方法治疗变应性鼻炎(AR)伴鼻中隔偏曲的效果。方法将2014年12月至2017年1月间中山市小榄人民医院诊治的100例AR伴鼻中隔偏曲患者根据随机数表法分为观察组和对照组各50例,观察组行鼻内镜下鼻中隔黏膜下切除术...目的比较不同鼻内镜下手术方法治疗变应性鼻炎(AR)伴鼻中隔偏曲的效果。方法将2014年12月至2017年1月间中山市小榄人民医院诊治的100例AR伴鼻中隔偏曲患者根据随机数表法分为观察组和对照组各50例,观察组行鼻内镜下鼻中隔黏膜下切除术联合下鼻甲黏膜下海绵体部分切除术,对照组行常规鼻内镜下鼻中隔黏膜下切除术,比较两组患者术后1个月的疗效及并发症发生情况。结果观察组和对照组患者术后症状积分[(1.32±0.36)分vs(1.61±0.39)分]和体征积分[(1.24±0.27)分vs (1.87±0.43)分]比较,观察组均明显低于对照组,差异均有统计学意义(P<0.05);观察组和对照组患者术后糖精清除率[(16.32±2.16) min vs (17.61±2.25) min]、鼻腔阻力[(0.30±0.09) kPa/(L·s) vs (0.47±0.11) k Pa/(L·s)]比较,观察组均明显低于对照组,差异有统计学意义(P<0.05);观察组患者的治疗总有效率为94.0%,明显高于对照组的84.0%,差异具有统计学意义(P<0.05);观察组患者术后并发症发生率为2.0%,略低于对照组的10.0%,但差异无统计学意义(P>0.05)。结论鼻内镜下鼻中隔黏膜下切除术联合下鼻甲黏膜下海绵体部分切除术治疗AR伴鼻中隔偏曲可显著改善患者临床症状,效果优于单独鼻中隔黏膜下切除术。展开更多
目的:探讨鼻内镜下鼻甲黏膜下部分切除术联合鼻中隔矫正术治疗对变应性鼻炎(allergic rhinitis,AR)伴鼻中隔偏曲患者嗅觉的影响。方法:选取2017年6月至2020年12月收治的150例AR伴鼻中隔偏曲患者作为研究对象,采用随机数表法分为观察组...目的:探讨鼻内镜下鼻甲黏膜下部分切除术联合鼻中隔矫正术治疗对变应性鼻炎(allergic rhinitis,AR)伴鼻中隔偏曲患者嗅觉的影响。方法:选取2017年6月至2020年12月收治的150例AR伴鼻中隔偏曲患者作为研究对象,采用随机数表法分为观察组和对照组,每组75例。两组均行鼻中隔矫正术,观察组在此基础上联合鼻内镜下鼻甲黏膜下部分切除术。术前、术后1个月时,评估两组鼻部症状、气道反应性、嗅觉功能,比较两组术后生活质量[鼻炎相关生活质量问卷(Rhinitis related Quality of Life Questionnaire,RQLQ)]和并发症发生率。结果:术后1个月时,两组鼻痒、喷嚏、鼻塞、鼻涕得分及振荡频率为5 Hz时的黏性阻力(respiratory resistance at 5 Hz,R5)、振荡频率为20 Hz时的黏性阻力(respiratory resistance at 20 Hz,R20)、共振频率(resonance frequency,Fres)、嗅觉识别阈值均低于术前(P<0.05),观察组术后各指标低于同期对照组(P<0.05);术后1个月,两组嗅觉良好率均高于术前(P<0.05),观察组术后嗅觉良好率高于同期对照组(P<0.05);观察组术后RQLQ中鼻部症状、眼部症状、其他症状、行为问题、睡眠障碍得分均低于对照组(均P<0.05);两组并发症发生率比较,差异无统计学意义(P>0.05)。结论:鼻内镜下鼻甲黏膜下部分切除术联合鼻中隔矫正术是治疗AR伴鼻中隔偏曲的良好术式,有助于促进患者术后嗅觉功能恢复。展开更多
文摘Objective: In this study we aimed to compare the effects of submucosal cauterization of the inferior turbinate with or without inferior partial turbinectomy. Materials and methods: In this prospective cohort study, 60 patients with inferior turbinate hypertrophy were randomized and divided into two groups. The first one was submitted to submucosal cauterization associated with partial turbinectomy, and the second one only submucous cauterization. Five items were assessed to compare both methods: pain, nasal bleeding, scarring, crustation and nasal air way patency. Follow-up was performed on days 1, 14, 30 and 3 months later. Results: In both groups crusting formation was similar. Reactionary hemorrhage was more common in turbinectomy group. Scarring showed better results in the turbinectomy group in the first month postoperative, airway patency showed good results in 80% of the patients with turbinectomy. Conclusion: Submucosal cauterization with inferior partial turbinectomy has yielded better nasal patency when compared to submucosal electrocautery ablation alone.
文摘目的比较不同鼻内镜下手术方法治疗变应性鼻炎(AR)伴鼻中隔偏曲的效果。方法将2014年12月至2017年1月间中山市小榄人民医院诊治的100例AR伴鼻中隔偏曲患者根据随机数表法分为观察组和对照组各50例,观察组行鼻内镜下鼻中隔黏膜下切除术联合下鼻甲黏膜下海绵体部分切除术,对照组行常规鼻内镜下鼻中隔黏膜下切除术,比较两组患者术后1个月的疗效及并发症发生情况。结果观察组和对照组患者术后症状积分[(1.32±0.36)分vs(1.61±0.39)分]和体征积分[(1.24±0.27)分vs (1.87±0.43)分]比较,观察组均明显低于对照组,差异均有统计学意义(P<0.05);观察组和对照组患者术后糖精清除率[(16.32±2.16) min vs (17.61±2.25) min]、鼻腔阻力[(0.30±0.09) kPa/(L·s) vs (0.47±0.11) k Pa/(L·s)]比较,观察组均明显低于对照组,差异有统计学意义(P<0.05);观察组患者的治疗总有效率为94.0%,明显高于对照组的84.0%,差异具有统计学意义(P<0.05);观察组患者术后并发症发生率为2.0%,略低于对照组的10.0%,但差异无统计学意义(P>0.05)。结论鼻内镜下鼻中隔黏膜下切除术联合下鼻甲黏膜下海绵体部分切除术治疗AR伴鼻中隔偏曲可显著改善患者临床症状,效果优于单独鼻中隔黏膜下切除术。
文摘目的:探讨鼻内镜下鼻甲黏膜下部分切除术联合鼻中隔矫正术治疗对变应性鼻炎(allergic rhinitis,AR)伴鼻中隔偏曲患者嗅觉的影响。方法:选取2017年6月至2020年12月收治的150例AR伴鼻中隔偏曲患者作为研究对象,采用随机数表法分为观察组和对照组,每组75例。两组均行鼻中隔矫正术,观察组在此基础上联合鼻内镜下鼻甲黏膜下部分切除术。术前、术后1个月时,评估两组鼻部症状、气道反应性、嗅觉功能,比较两组术后生活质量[鼻炎相关生活质量问卷(Rhinitis related Quality of Life Questionnaire,RQLQ)]和并发症发生率。结果:术后1个月时,两组鼻痒、喷嚏、鼻塞、鼻涕得分及振荡频率为5 Hz时的黏性阻力(respiratory resistance at 5 Hz,R5)、振荡频率为20 Hz时的黏性阻力(respiratory resistance at 20 Hz,R20)、共振频率(resonance frequency,Fres)、嗅觉识别阈值均低于术前(P<0.05),观察组术后各指标低于同期对照组(P<0.05);术后1个月,两组嗅觉良好率均高于术前(P<0.05),观察组术后嗅觉良好率高于同期对照组(P<0.05);观察组术后RQLQ中鼻部症状、眼部症状、其他症状、行为问题、睡眠障碍得分均低于对照组(均P<0.05);两组并发症发生率比较,差异无统计学意义(P>0.05)。结论:鼻内镜下鼻甲黏膜下部分切除术联合鼻中隔矫正术是治疗AR伴鼻中隔偏曲的良好术式,有助于促进患者术后嗅觉功能恢复。
