鼻内镜下鼻后神经切断术研究进展

目的鼻内镜下鼻后神经切断术作为一种选择性翼管神经切断术，避免了切除翼管神经主干，保留了支配泪腺分泌的副交感神经纤维及支配上腭部黏膜感觉的腭大神经，在取得良好疗效的同时，可减少眼干、上腭麻木等并发症发生。目前有学者主张鼻内镜下切断鼻后神经取代翼管神经主干来治疗难治性变应性鼻炎(AR)和顽固性血管运动性鼻炎（VMR）。现就近年来鼻内镜下鼻后神经切断术的相关进展情况作一综述。

The research progress on the endoscopic posterior neurectomyCAI Zhi mou1, YU Chao sheng2, WEN Zhong1

ObjectiveAs a kind of selective vidian neurectomy, endoscopic posterior neurectomy avoids the removal of vidian nerve trunk, and retains the parasympathetic nerve fibers that control the secretion of lacrimal gland and the great palatine nerve that innervates the sensory mucosa of the upper palate. While achieving good efficacy, it can reduce the incidence of complications such as disturbed lacrimal secretion and sensory disorders of the cheek and gum.At present, some scholars advocate cutting off the posterior nasal nerve to replace the vidian nerve for the treatment of refractory allergic rhinitis and intractable vasomotor rhinitis under nasal endoscope. This review focuses on the recent progress of nasal endoscopic posterior neurotomy.