鼻内镜手术结合鼻腔多部位射频技术治疗常年性变应性鼻炎

目的 探讨鼻内镜手术结合射频技术治疗常年性变应性鼻炎疗效。方法 对63例药物治疗不能控制症状的常年性变应性鼻炎,采用鼻内镜行鼻中隔粘膜下矫正术,射频点射两侧蝶腭孔和筛前神经及下鼻甲。结果 术后1个月:显效92.1%(58/63),有效7.9%(5/63),总有效率100%;术后1年:显效88.9%(56/63),有效7.9%(5/63),无效3.2%(2/63),总有效率96.8%(61/63);术后2年:显效82.6%(52/63),有效12.7%(8/63),无效4.8%(3/63),总有效率95.2%(60/63)。与单纯行鼻中隔粘膜下矫正术对照组比较,术后1年、2年总有效率(显效+有效P<0.01)显著提高,均有统计学意义。结论 鼻内镜手术结合加射频技术治疗常年性变应性鼻炎,具有术区定位准确,疗效好,副作用少等优点。

Nasal endoscopy combined with multiple radiofrequency for perennial allergic rhinitis

Objective To evaluate the therapeutic effects of nasal endoscopic surgery combined with multiple radiofrequency in the treatment of perennial allergic rhinitis.Methods Sixty-three patients with perennial allergic rhinitis whose symptoms failed to be controlled by medication received nasal endoscopic surgery for submucous resection of the nasal septum combined with radiofrequency ablation of the bilateral sphenopalatine foramen,anterior ethmoidal nerve and inferior nasal concha.Result One month after operation,the rate of excellent recovery was 92.1% (58/63),efficacy rate of 7.9% (5/63),and total efficacy rate of 100%,which was 88.9%(56/63),7.9%(5/63),and 96.8% (61/63) 1 year after operation,respectively,with 2 patients (3.2%) of the patients failed to respond to the treatment.Two years after the operation,the excellent rate,efficacy rate,and total effective rate was 82.6%(52/63),12.7%(8/63),and 95.2% (60/63),respectively,with 3 patients failed to obtain good recovery.Conclusion Nasal endoscope combined with radio frequency may achieve good therapeutic effects on perennial allergic rhinitis with less adverse effects.