鼻内镜下联合低温等离子射频消融治疗过敏性鼻炎合并鼻中隔偏曲146例疗效分析

目的:探讨鼻内镜下联合低温等离子射频消融治疗常年性过敏性鼻炎合并鼻中隔偏曲的临床疗效。方法:146例过敏性鼻炎伴鼻中隔偏曲患者在鼻内镜下行鼻中隔矫正术加下鼻甲射频消融术,术后随访1年,按照兰州会议疗效评定标准,用计分法评定其疗效。结果:显效53.4%,有效24.7%,无效21.9%,总有效率为78.1%。疗效评分显示治疗前为(10.67±2.48)分,治疗1年后为(5.43±1.07)分,两者相比差异有统计学意义(P<0.05)。结论:鼻内镜下鼻中隔矫正术与低温等离子射频消融下鼻甲手术联合应用治疗常年过敏性鼻炎伴鼻中隔偏曲,手术安全性高,微创,对鼻腔黏膜损伤轻,恢复快,有较高的临床应用价值,值得推广。

Efifcacy analysis of 146 cases with allergic rhinitis combined with nasal septum deviation under nasal endoscope and low temperature plasma Radiofrequency ablation

Objective To investigate the nasal endoscopic combined with low temperature plasma radio frequency ablation clinical efficacy in the treatment of perennial allergic rhinitis with nasal septum deviation.Methods 146 cases of allergic rhinitis patients with nasal septum surgery plus radiofrequency ablation for inferior turbinate in endoscopic nasal septum,patients were followed up for 1 years,according to the standard of curative effect evaluation of Lanzhou conference,to evaluate its therapeutic effect by scoring method.Results The effective 53.4%,effective 24.7%,invalid 21.9%,the total effective rate was 78.1%.Effect evaluation shows before treatment for （10.67±2.48）,1 years after treatment for （5.43±1.07）,a statistically significant difference between the two groups（P〈O.O5）.Conclusion The endoscopic nasal surgery and low-temperature plasma radiofrequency ablation combined with application of inferior turbinate surgery in the treatment of perennial allergic rhinitis with nasal septum deviation,the operation safety is high,minimally invasive surgery on the nasal mucosa injury,light,fast recovery,has higher clinical application value,it is worth of wide.