鼻内镜下聚焦超声治疗变应性鼻炎疗效观察

目的:观察鼻内镜下聚焦超声治疗变应性鼻炎的疗效。方法:运用CZB型超声波鼻炎治疗仪,在鼻内镜下对117例常年性变应性鼻炎患者进行治疗,治疗部位分别为下鼻甲及鼻中隔前上部。按照2004年兰州会议"变应性鼻炎的治疗原则和推荐方案",用记分法分别评定其疗效。结果:术后随访12个月进行疗效评价,其中显效率37.6%(44/117),有效率41.9%(49/117),无效率20.5%(24/117),总有效率为79.5%(93/117)。结论:鼻内镜下采用聚焦超声治疗变应性鼻炎,具有操作简单、创伤小、可重复性等优点,安全性高,近期效果显著;但远期疗效有待进一步观察研究。

Clinical observation of treating allergic rhinitis with focused ultrasound under nasal endoscope

Objective:To observe the short-term therapeutic effect of focused ultrasound in treating allergic rhinitis under nasal endoscope.Method:One hundred and seventeen patients with allergic rhinitis were treated by the CZB ultrasound therapeutic system which was developed and produced by Chongqing Haifu (HIFU) Technology Co. Ltd., Chongqing China. It was used to scan inferior nasal concha and the anterosuperior part of nasal septum under nasal endoscopy. The therapeutic effect was evaluated by clinical symptoms controlled counting-scores, according to the Chinese Lan zhou principle of treatment and recommendation program for allergic rhinitis (2004).Result:The excellent effective rate was 44/117 cases (37.6%), effective rate was 49/117 cases (41.9%), ineffective rate was 24/117 cases (20.5%), and the total effective rate was 79.5% after 12 months follow up.Conclusion:The focused ultrasound is convenient, safe, repetitive and effective in treating allergic rhinitis under nasal endoscope. The long-term therapeutic effect remains to be further studied.