肥厚性鼻炎下鼻甲术式的选择

目的 :探讨治疗肥厚性鼻炎 (HR) 3种下鼻甲手术的特点 ,提出选择术式的建议。方法 :16 2例HR患者分别行下鼻甲骨黏骨膜下切除术 (A组 )、下鼻甲部分切除术 (B组 )和下鼻甲黏膜下微波热凝术 (C组 )。结果 :3种下鼻甲术式的有效率分别为 :A组 94 .6 %、B组 83.7%、C组 88.9% ,其差异均无显著性意义 (P >0 .0 5 ) ,但各有其特点和适用范围。结论 :下鼻甲骨黏骨膜下切除术适用于下鼻甲骨质增厚为主的HR ;下鼻甲黏膜下微波热凝术首选于下鼻甲黏膜增厚为主的HR ;下鼻甲部分切除术则应慎重选用 ,以保护鼻腔的解剖结构及其生理功能

Selection of operative manner of inferior turbinate on hypertrophic rhinitis

Objective:To analyses the features of three operative manner of inferior turbinate on hypertrophic rhinitis (HR) and to propose some suggestion for selection of operative manner on HR.Method:One hundred and sixty-two cases of HR were treated separately by submucoperiosteous resection of inferior turbinate bone (group A), partial inferior turbinectomy (group B) and submucosal hot-coagulation of inferior turbinate with microwave (group C).Result:Three groups of HR were followed up one year after operation.effective rate was 94.6% in group A, 83.7% in group B and 88.9% in group C respectively. Effective rate had no significant difference among three groups (P> 0.05).Conclusion:Submucoperiosteous resection of inferior turbinate bone is safe, effective manner for HR with inferior turbinate bony hypertrophy.The same is submucosal hot-coagulation of inferior turbinate by microwave for mucosal hypertrophy. Partial inferior turbinectomy should be preformed cautiously on HR in order to protect the anatomical structure and physiologic functions of nose.