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射频消融治疗下鼻甲肥厚所致鼻塞的疗效
引用本文:李文雅,张雷,徐隽彦,汤建国. 射频消融治疗下鼻甲肥厚所致鼻塞的疗效[J]. 临床耳鼻咽喉头颈外科杂志, 2003, 17(11): 663-664
作者姓名:李文雅  张雷  徐隽彦  汤建国
作者单位:1. 浙江大学附属邵逸夫医院耳鼻咽喉-头颈外科,杭州,310016
2. 浙江省绍兴华宇医院耳鼻咽喉科
摘    要:目的 :探讨射频消融治疗下鼻甲肥厚所致鼻塞的效果。方法 :对 18例下鼻甲肥大致鼻塞患者采用射频消融术缩小双侧下鼻甲 ,术前及术后 3个月应用视觉模拟评分表 (VAS)来评价鼻塞的主观感觉。结果 :患者术前鼻塞VAS评分左侧为 (6 7.7± 9.4 ) % ,右侧为 (70 .5± 10 .5 ) % ;术后 3个月左侧为 (4 5 .0± 9.0 ) % ,右侧为(5 3.3± 11.6 ) % ,左右侧分别与术前比较 ,差异均有极显著性意义 (均P <0 .0 1)。随访 3个月 ,检查双侧下鼻甲与鼻中隔的最小距离从术前小于 0 .2cm增加到术后大于 0 .3cm。结论 :射频消融术是安全、有效、微创地治疗下鼻甲肥大所致鼻塞的较好治疗方法

关 键 词:鼻塞 下鼻甲肥厚 射频消融术
文章编号:1001-1781(2003)11-0663-02
修稿时间:2003-02-27

Radiofrequency ablation for treatment of nasal obstruction secondary to inferior turbinate hypertrophy
LI Wenya ZHANG Lei XU Junyan TANG Jianguo. Radiofrequency ablation for treatment of nasal obstruction secondary to inferior turbinate hypertrophy[J]. Journal of clinical otorhinolaryngology, head, and neck surgery, 2003, 17(11): 663-664
Authors:LI Wenya ZHANG Lei XU Junyan TANG Jianguo
Affiliation:Department of Otolaryngology-Head and Neck Surgery, Sir Run Run Shaw Hospital, Affiliated Zhejiang University, Hangzhou 310016.
Abstract:OBJECTIVE: To assess the efficacy of bipolar radiofrequency ablation on inferior turbinate in patients with nasal obstruction caused by inferior turbinate hypertrophy. METHOD: Eighteen patients enrolled in the study and bipolar radiofrequency ablation was delivered to inferior turbinate. The preoperative and postoperative nasal obstruction were investigated by visual analogue scale (VAS). RESULT: All patients were improved in 3 months. Mean obstruction(VAS) improved from 70.5% +/- 10.5% to 53.3% +/- 11.6% (right side), and from 67.7% +/- 9.4% to 45.0% +/- 9.2% (left side). CONCLUSION: The use of radiofrequency for submucosal tissue ablation in the hypertrophied inferior turbinate is an effective modality for reducing symptoms of nasal obstruction.
Keywords:Nasal obstruction  Inferior turbinale hypertrophy  Radiofrequency ablation
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