不同手术方案对鼻中隔偏曲合并慢性肥厚性鼻炎患者鼻腔愈合的影响

目的观察鼻中隔偏曲合并慢性肥厚性鼻炎患者经不同手术方案干预后鼻腔愈合情况,旨在指导未来该类疾病手术方案的优化。方法回顾性纳入2017年8月至2019年12月池州市人民医院收治入院的50例鼻中隔偏曲合并慢性肥厚性鼻炎患者为研究对象。所有患者均行鼻内镜下鼻中隔偏曲矫正术,在此基础上联合鼻内镜下下鼻甲成形术方案治疗的26例纳入对照组,联合等离子低温射频消融术治疗的24例患者纳入观察组。评价并比较2组患者的临床疗效,术前、术后1个月、术后3个月评估并比较2组患者鼻塞症状主观感觉采用视觉模拟评分法(VAS)评估]和鼻腔间隙以及并发症发生率。结果术后1个月门诊随访,观察组治疗总有效率稍高于对照组(95.83%vs.88.46%),但组间差异无统计学意义(P>0.05)。术后1、3个月,观察组和对照组患者的VAS评分较术前降低,鼻腔间隙较术前增加,且观察组术后1、3个月VAS评分(5.12±0.75)、(2.02±0.42)分]低于对照组(7.12±0.95)、(4.20±0.48)分],鼻腔间隙(3.68±0.27)、(3.83±0.32)mm]大于对照组(2.12±0.16)、(3.03±0.20)mm],差异有统计学意义(P<0.05)。2组患者并发症总发生率比较(8.33%vs.30.77%),差异无统计学意义(P>0.05)。结论鼻中隔偏曲合并慢性肥厚性鼻炎患者接受等离子低温射频消融术治疗,更利于促进患者各主要症状更好更快改善,临床疗效满意,患者鼻腔间隙改善,术后并发症较少,安全可靠。

Effects of different surgical procedures on nasal cavity healing in patients with deflection of nasal septum and chronic hypertrophic rhinitis

Objective To observe the healing of the nasal cavity in patients with deflection of nasal septum and chronic hypertrophic rhinitis who are treated by different surgical schemes,aiming to guide the optimization of surgical schemes for such diseases in the future.Methods From August 2017 to December 2019,50 patients with deflection of nasal septum and chronic hypertrophic rhinitis who were treated in Chizhou People's Hospital were included as the research objects.All patients underwent correction of nasal septum deviation under nasal endoscope.On this basis,26 patients who underwent deflection of nasal septum correction+nasal endoscope nasal septoplasty were included into the control group,and 24 patients who were treated with deflection of nasal septum correction+temperature-controlled radio-frequency were included in the observation group.Evaluated and compared the clinical efficacy of the two groups;at different time points(preoperative,1 month after surgery,3 months after surgery),evaluated and compared the subjective sensation of nasal congestion symptomsassessment by visual analog scale(VAS)],nasal space;recorded and compared the occurrence of complications between the two groups.Results The outpatient follow-up for 1 month after the operation,the total effective rate of treatment in the observation group was slightly higher than that in the control group(95.83%vs.88.46%),but the difference between the groups was not statistically significant(P>0.05);1 month after operation and 3 months after operation,the VAS of the two groups of patients was lower than before operation,and the nasal space was increased compared with that before operation.The VAS scores(5.12±0.75),(2.02±0.42)points]of the observation group were lower than those of the control group(7.12±0.95),(4.20±0.48)points],the nasal space(3.68±0.27),(3.83±0.32)mm]was larger than those of the control group(2.12±0.16),(3.03±0.20)mm],the differences were statistically significant(P<0.05).Compared the total incidence of complications between the two groups(8.33%vs.30.77%),the difference was not statistically significant(P>0.05).Conclusion Patients with deflection of nasal septum and chronic hypertrophic rhinitis receiving temperature-controlled radio-frequency are more conducive to promoting better and faster improvement of the main symptoms of the patient,satisfactory clinical efficacy,improved nasal space,and has fewer postoperative complications,which is safe and reliable.