下鼻甲骨折外移术加低温等离子消融治疗慢性肥厚性鼻炎的疗效观察

目的观察下鼻甲骨折外移加下鼻甲低温等离子消融治疗慢性肥厚性鼻炎的疗效及术后并发症。方法选择168例慢性肥厚性鼻炎患者,按入院先后顺序,随机分为观察组85例,对照组83例。观察组给予下鼻甲骨折外移加下鼻甲低温等离子消融,对照组给予下鼻甲骨折外移加下鼻甲部分切除。术前及术后6个月均用VAS评分标准评价患者鼻塞的主观感觉,并观察术后鼻甲黏膜修复情况及鼻腔干燥、出血、粘连情况。结果观察组患者术前鼻塞VAS评分为8.25±0.76,对照组为8.22±0.81,术后6个月观察组为2.45±0.88,对照组为2.69±0.97。两组术前和术后比较差异均有显著统计学意义（P〈0.01）,两组间疗效比较差异无统计学意义（P〉0.05）。观察组无明显并发症,对照组并发鼻腔干燥6例,鼻出血5例,两组间并发症比较差异有统计学意义（P〈0.01）。结论下鼻甲骨折外移加下鼻甲低温等离子消融具有疗效确切、安全、损伤小、并发症少等优点,具有重要的临床运用价值。

Observation of curative effect of inferior turbinate displacement fracture combined with hypothermy plasma ablation in treatment of chronic hypertrophic rhinitis

Objective To observe of inferior turbinate displacement fracture combined with hypothermy plasma ablation in treatment of chronic hypertrophic rhinitis curative effect and postoperative complications.Methods 168 cases of chronic hypertrophic rhinitis according to the sequence of admission,were randomly divided into 85 cases of observation group,83 cases of control group.Observation group was given the inferior turbinate displacement fracture combined with inferior turbinate hypothermy plasma,the control group was given the inferior turbinate displacement fracture and partial inferior turbinectomy,preoperative and postoperative 6 months with VAS score standard in the evaluation of patients with nasal obstruction and subjective feeling,and the observation of postoperative nasal turbinate mucosa repair and nasal dryness,bleeding,adhesion case.Results The patients in the observation group preoperative nasal VAS score 8.25±0.76,control group 8.22±0.81,after 6 months,observation group was 2.45±0.88,control group 2.69±0.97.Two groups preoperatively and postoperatively to compare the differences were statistically significant （P0.01）,two groups compare difference not to have statistical significance （P0.05）.There were no significant complications,control group 6 cases complicated with dry nasal cavity,nasal hemorrhage in 5 cases,complications between the two groups had significant difference （P0.01）.Conclusion Inferior turbinate displacement fracture combined with inferior turbinate hypothermy plasma have definite curative effect,safe,less injury,less complication,and have important clinical application value.