论文部分内容阅读
目的:探讨提高治疗常年性变应性鼻炎的新方法。方法:将常年性变应性鼻炎(PAR)患者80例随机分为两组:观察组40例,应用鼻内镜下射频热凝鼻后下神经、筛前神经及下鼻甲治疗;对照组40例,应用鼻内镜下射频热凝蝶腭神经治疗。将两组远期疗效进行对比。结果:随访1年,观察组总有效率为95.0%(其中显效33例),对照组为47.5%(其中显效6例)。两组总有效率,经χ2检验差异有统计学意义(P<0.01)。观察组无并发症发生,对照组术中出血3例。结论:经鼻内镜下射频热凝鼻后下神经、筛前神经及下鼻甲治疗PAR具有疗效显著、操作简便、无副作用等优点,有较好的临床应用价值。
Objective: To explore a new method to improve the treatment of perennial allergic rhinitis. Methods: Eighty patients with perennial allergic rhinitis (PAR) were randomly divided into two groups: the observation group of 40 cases, the application of nasal endoscopic radiofrequency ablation of the posterior nasal nerve, the anterior ethmoidal nerve and the inferior turbinate; the control group 40 Cases, application of nasal endoscopic radiofrequency thermocoagulation sphenopalatine nerve treatment. The long-term efficacy of the two groups were compared. Results: The follow-up of 1 year, the total effective rate was 95.0% (33 cases markedly effective) in the observation group and 47.5% in the control group (6 cases markedly effective). The total effective rate of two groups, by χ2 test difference was statistically significant (P <0.01). The observation group had no complications, and the control group had 3 cases of intraoperative bleeding. Conclusion: Radiofrequency coagulation of posterior inferior nerve, anterior ethmoidal nerve and inferior turbinate under nasal endoscopic radiofrequency ablation has the advantages of significant curative effect, simple operation, no side effects and so on, which has a good clinical value.