摘要
目的探讨改良鼻内镜下经鼻腔翼管神经切断术与鼻甲部分切除术治疗过敏性鼻炎(allergic rhinitis,AR)的效果,并分析对复发的影响。方法回顾性选取2019年4月至2021年12月温州医科大学附属第二医院收治的96例AR患者,按照手术方法进行分组,将接受改良鼻内镜下经鼻腔翼管神经切断术治疗的患者纳入切断组(n=50),接受鼻甲部分切除术治疗的患者纳入切除组(n=46)。采用鼻部临床症状评分改善情况评估临床疗效,观察两组患者临床疗效、术后并发症、复发情况,比较两组患者治疗前后的鼻结膜炎生存质量量表(rhinoconjunctivitis quality of life question naire,RQLQ)评分、视觉模拟评分(visual analogue scale,VAS)、鼻腔鼻窦结局测试-20(sino-nasal outcome test-20,SNOT-20)评分及肺通气功能。结果切断组患者近期临床疗效显著高于切除组(P<0.05);治疗后两组RQLQ评分、VAS、SNOT-20评分显著降低,且切断组显著低于切除组(P<0.05);治疗后两组用力呼气流量、最大通气量显著升高,且切断组显著高于切除组(P<0.05);两组患者并发症发生率及短期复发率比较,差异无统计学意义(P>0.05)。结论与鼻甲部分切除术治疗AR患者比较,改良鼻内镜下经鼻腔翼管神经切断术能更有效缓解鼻腔症状,改善肺通气功能,提高患者治疗后的生活质量,且不增加并发症及复发的风险。
Objective To investigate the effect of modified endoscopic transnasal alar canal neurotomy and partial turbinate resection in the treatment of allergic rhinitis(AR),and analyze the effect on recurrence.Methods A total of 96 patients with AR admitted to the Second Affiliated Hospital of Wenzhou Medical University from April 2019 to December 2021 were retrospectively selected,of which patients treated with modified endoscopic transnasal alar canal neurotomy were included in the dissection group(n=50)and patients treated with partial turbinatectomy were included in the resection group(n=46).The clinical efficacy was assessed by using the improvement of nasal clinical symptom scores,observed the clinical efficacy,postoperative complications and recurrence of patients in both groups,compared the rhinoconjunctivitis quality of life question naire(RQLQ)scores,visual analogue scale(VAS),the sino-nasal outcome test-20(SNOT-20)score,and pulmonary ventilation function were compared between the two groups.Results After treatment,the recent clinical efficacy of the cut-off group was higher than that in the resection group,and the difference was statistically significant(P<0.05).The RQLQ score,VAS score and SNOT-20 score were significantly lower in both groups,and statistically lower than those in the resection group(P<0.05);and the forceful expiratory flow and maximum ventilation volume were significantly higher in both groups,and significantly higher than those in the resection group(P<0.05).There was no statistically significant difference in the incidence of complications and short-term recurrence rate between the two groups(P>0.05).Conclusion Compared with partial turbinate resection for AR patients,modified endoscopic transnasal alar canal neurotomy can more effectively relieve nasal symptoms,improve lung function,and improve the quality of life of patients after treatment,without increasing complications and complications.risk of recurrence.
作者
李东
陈彩娣
LI Dong;CHEN Caidi(Department of Otolaryngology,the Second Affiliated Hospital of Wenzhou Medical University,Wenzhou 325027,Zhejiang,China)
出处
《中国现代医生》
2023年第8期68-71,共4页
China Modern Doctor
