鼻内镜下鼻甲黏膜下成形术治疗慢性肥厚性鼻炎的临床体会

目的:总结鼻内镜下鼻甲黏膜下成形术治疗慢性肥厚性鼻炎的经验。方法:采用XPS-3000手术综合动力系统配备专用下鼻甲切削刀头对25例慢性肥厚性鼻炎患者行内镜下鼻甲黏膜下成形术(A组),同时将选择行常规下鼻甲部分切除术的22例患者(B组)作为对照,比较两组的术中出血量、手术时间、鼻腔通气时间和黏膜恢复时间。结果:下鼻甲黏膜下成形术的术中出血量、手术时间、鼻腔通气时间和黏膜恢复时间比传统下鼻甲切除术要少和短,两组比较差异有统计学意义(P<0.05)。术后随访3个月,A、B两组的有效率分别为92%及86%,下鼻甲黏膜下成形术疗效更好。结论:内镜下鼻甲黏膜下成形术比传统的下鼻甲部分切除术创伤更小,术后疗效更好,值得临床进一步推广应用。

Transnasal endoscopic submucous inferior turbinate resection in treatment of chronic hypertrophic rhinitis

Objective: To sum up the experience of submucous inferior turbinate resection by transnasal endoscopy for treatment of chronic hypertrophic rhinitis(HR).Methods: Twenty-five cases of HR were treated by transnasal endoscopic submucous inferior turbinate resection with the XPS-3000 surgery synthetic dynamic system and special-purpose tool bit(group A) and 22 cases were treated with the traditional partial inferior turbinectomy(group B).The amount of hemorrhage, time of surgery,nasal ventilation and mucosa recovery of the two groups were compared.Results: The amount of hemorrhage,time of surgery,nasal ventilation and mucosa recovery of group A were significantly lower and shorter than those of group B(P<0.05).Followed up over three months,the response rates of group A and B were 92% and 86% respectively.Conclusion: Transnasal endoscopic submucous inferior turbinate resection is superior to traditional partial inferior turbinectomy in trauma and response for HR.