鼻内窥镜下射频热凝鼻后下神经、筛前神经及下鼻甲治疗常年性变应性鼻炎的初步探讨

目的探讨提高治疗常年性变应性鼻炎(perennialallergicrhinitis,PAR)的新方法。方法将常年性变应性鼻炎患者80例随机分为两组,观察组40例,接受鼻内窥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,接受鼻内窥镜下射频热凝蝶腭神经治疗。将两组中期疗效进行对比。结果随访半年,观察组总有效率为100.0%(其中显效36例),对照组为67.5%(其中显效10例)。两组总有效率,经χ2检验差异有显著性(P<0.01)。观察组无并发症发生,对照组出现术中出血3例。结论经鼻内窥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,有较好临床应用价值。

Radiofrequency treatment of nasal posterior-under nerve, ethmoidal nerve and infraturbinal for perennial allergic rhinitis under nasal endoscope

To study a new method for perennial allergic rhinitis(PAR). 80 cases of PAR randomly divided into 2 groups receive: observation group 40 cases treated with nasal posterior-under nerve, ethmoidal nerve and infraturbinal radiofrequency under nasal endoscope; control group 40 cases treated with sphenopalatine nerves radiofrequency under nasal endoscope. All the cases were follow-up half year postoperatively, The total effective rate was 100% in observation group(excellent 90%)and 67.5% in control group (excellent 25%). There was significant difference (P<0.01) between the group in efficacy. The complicatiom was not observed in observation group and massive intraoperation hemorrhage (n=3) was observed in control group. [Conclusions] The method that is treating PAR with nasal posterior-under nerve, ethmoidal nerve and infraturbinal radiofrequency under nasal endoscope is highly effective, easy to perform and few complications, so it is a good way to treat PAR.