摘要
目的比较下鼻甲部分切除术、半导体激光术和下鼻甲成形术治疗慢性肥厚性鼻炎的效果。方法 650例确诊的慢性肥厚性鼻炎患者,其中男性353例,女性297例,年龄17～62岁,平均年龄41.6岁。随机分为3组,行下鼻甲部分切除术组(A组),行半导体激光术组(B组),行下鼻甲成形术组(C组)。对3组治疗的慢性肥厚性鼻炎患者进行回顾性分析。结果 A组和C组有效率均为100.0%,B组有效率为92.5%;A组和C组与B组比较差异有统计学意义。C组术后鼻塞天数和黏膜修复时间最短,且并发症最少,而A组在3组比较中鼻塞天数和黏膜修复时间最长,并发症最多。结论 3组手术方式均是治疗慢性肥厚性鼻炎的有效方法,但下鼻甲成形术具有术后反应轻、恢复快、并发症少等特点,更符合生理功能。
Objective To compare the efficacy of chronic hypertrophic rhinitis by partial inferior turbinectomy,semiconductor laser surgery and turbinoplasty.Methods A total of 650 patients with chronic hypertrophic rhinitis were enrolled,male 353,female 297,aged 17-62 years old,mean aged 41.6 years old,which divided into 3 groups： partial inferior turbinectomy（group A）,semiconductor laser surgery（group B） and turbinoplasty（group C）.The efficacy of patients was analyzed retrospectively.Results The total effective rate in group A and C were 100.0 %,group B was 92.5 %.There was significant difference between group A,C and B（P 0.000）.The time of post-operative nasal obstruction and mucosa repair in group C was shorter than that in group A and B obviously.The postoperative complications in group C were least.Conclusion It is demonstrated that the 3 surgical treatments of chronic hypertrophic rhinitis could obtain good efficacy.But turbinoplasty has better advantages,such as quick recovery,fewer complications and less harmful reaction in post-operation,and is more consistent with physiological function.
出处
《生物医学工程与临床》
CAS
2011年第2期169-172,共4页
Biomedical Engineering and Clinical Medicine
关键词
慢性肥厚性鼻炎
下鼻甲部分切除术
半导体激光
下鼻甲成形术
治疗效果
chronic hypertrophic rhinitis
partial inferior turbinectomy
semiconductor laser
turbinoplasty
treatment outcome
