鼻内镜手术中采用低温等离子射频消融改善慢性鼻-鼻窦炎患者鼻腔通气状态的效果分析

目的:考察鼻内镜手术中采用低温等离子射频消融治疗慢性鼻-鼻窦炎的临床效果。方法:将100例慢性鼻-鼻窦炎患者随机分为观察组和对照组，各50例。对照组采用电动吸切器治疗，观察组患者采用低温等离子射频消融治疗。比较2组患者的术中状况和通气功能。结果:观察组患者术中出血量和手术持续时间均显著少于对照组（P<0.01）。观察组患者术后1周鼻漏、术后1周和1个月瘢痕评分均明显优于对照组（P<0.01），术后不同时间鼻息肉、水肿和结痂评分差异均无统计学意义（P>0.05）。观察组患者治疗后鼻声反射和鼻阻力均显著优于对照组（P<0.01）。结论:低温等离子射频消融治疗慢性鼻-鼻窦炎的临床效果更优，可以降低手术难度，改善术后鼻腔症状并增加术后通气能力，具有临床应用价值。

Clinical efficacy of the low temperature radiofrequency ablation during nasal endoscopy in the improvement of nasal ventilation function of patient with chronic rhinosinusitis

Objective: To investigate the clinical effects of the low temperature radiofrequency ablation during nasal endoscopy in the improvement of nasal ventilation function of patients with chronic rhinosinusitis.Methods: A total of 100 patients with chronic rhinosinusitis were randomly divided into the observation group and control group(50 cases each group).The observation group and control group were treated with low temperate radiofrequency ablation and electrical microdebrider,respectively.The intraoperative situation,nasal ventilation function and Kennedy score between two groups were compared.Results: The intraoperative hemorrhage volume and operative duration in observation group were significantly less than those in control group(P<0.01).The rhinorrhea after 1 week of treatment and scar scores after 1 week and month of treatment in observation group were significantly better than those in control group(P<0.01).The differences of the nasal polyps,edema,and crusting scores in postoperative different time-points between two groups were not statistically significant(P>0.05).The acoustic rhinometry and nasal resistance in observation group were significantly better than those in control group(P<0.01).Conclusions: The treatment of chronic rhinosinusitis with the low temperature radiofrequency ablation during nasal endoscopy is effective,which can reduce the operative difficulty,improve nasal ventilation function,and is worthy of clinical application.