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
目的比较下鼻甲黏膜下骨质切除术和骨折外移术治疗下鼻甲肥大的手术疗效。方法利用生活质量(quality of life,QOL)调查量表和鼻声反射测量对分别接受两种术式的患者进行术前1周和术后12个月的评估。结果 47例下鼻甲肥大患者入选本研究,...目的比较下鼻甲黏膜下骨质切除术和骨折外移术治疗下鼻甲肥大的手术疗效。方法利用生活质量(quality of life,QOL)调查量表和鼻声反射测量对分别接受两种术式的患者进行术前1周和术后12个月的评估。结果 47例下鼻甲肥大患者入选本研究,鼻腔鼻窦结局测试-20(sino-nasal outcome test-20,SNOT-20)量表显示两种术式均使患者获得QOL改善,且术后改善程度相似,下鼻甲肥大患者术前五大问题依次为睡眠质量差、经常需要擤鼻涕、流黏稠鼻涕、容易疲劳、头晕。术后依次为鼻涕倒流、流清水样鼻涕、打喷嚏、注意力不集中、工作效率降低;两种术式均可使患者的鼻声反射测量参数最小横截面积,0~5 cm鼻腔容积(nasal volume,NV)和2~5 cm NV发生显著改变,且黏膜下骨质切除术比骨折外术移获得更宽敞的NV,分别为(7.28±2.01)cm^3 vs(6.01±1.22)cm3,(5.99±1.87)cm^3 vs(4.23±1.08)cm^3(P<0.05);但SNOT-20得分和鼻声反射测量数值无相关性。结论针对程度较轻的下鼻甲肥大的患者,推荐下鼻甲骨折外移术作为首选手术方案。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。
