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下鼻甲黏骨膜下切除和下鼻甲微波治疗慢性肥厚性鼻炎疗效比较
引用本文:黄雄超,廖首本,董仕婷,钟海建,覃永前.下鼻甲黏骨膜下切除和下鼻甲微波治疗慢性肥厚性鼻炎疗效比较[J].华夏医学,2014,27(1):78-80.
作者姓名:黄雄超  廖首本  董仕婷  钟海建  覃永前
作者单位:黄雄超 (钟山县人民医院耳鼻喉科,广西钟山,542699); 廖首本 (钟山县人民医院耳鼻喉科,广西钟山,542699); 董仕婷 (钟山县人民医院耳鼻喉科,广西钟山,542699); 钟海建 (钟山县人民医院耳鼻喉科,广西钟山,542699); 覃永前 (钟山县人民医院耳鼻喉科,广西钟山,542699);
摘    要:目的:探索下鼻甲黏骨膜下切除和下鼻甲微波治疗慢性肥厚性鼻炎的疗效.方法:70例慢性肥厚型鼻炎患者,随机分为A、B两组,每组35例.A组采用经鼻内镜实施下鼻甲黏骨膜下切除术;B组采用下鼻甲微波治疗.观察分析黏膜修复时间,鼻塞缓解等疗效.结果:A组患者鼻塞症状缓解总有效率为100%,无鼻腔粘连和鼻腔干燥等并发症;B组患者鼻塞症状缓解总有效率82.86%,并发鼻腔粘连1例,鼻.腔黏膜干燥1例.A组疗效高于B组,差异有统计学意义(P<0.01).结论:下鼻甲黏骨膜下切除术较微波治疗慢性肥厚性鼻炎效果好.

关 键 词:慢性肥厚性鼻炎  下鼻甲黏骨膜下切除术  微波治疗

Curative effect of inferior turbinate resection and inferior turbinate mucoperiosteal microwave treating on chronic hypertrophic rhinitis
Institution:HUANG Xiong-chao, LIAO Shou-ben ,DONG Shi-ting, et al(Department of Otorhinolaryngology, Head and Neck Surgery, the People's Hospital of Zhongshan, Zhongshan 542699 ,China)
Abstract:Objective: To compare the therapeutic effect of inferior turbinate resection and inferior turbinate mucoperiosteal microwave treating on chronic hypertrophic rhinitis. Methods: 70 cases of chronic hypertrophic rhinitis were randomly divided into A,B, groups, each group included 35 cases. Group A underwent Endoscopic resection of inferior turbinate periosteum, group B underwent microwave treatment of inferior turbinate. Mucosal repair time, ease of nasal congestion were analyzed. Results: The overall response rate, including cure and improvement, was 100% in group A and 82.86% in group B, the difference was statistically significant. In group B, 1 case showed nasal adhesions and 1 case showed nasal drying. Conclusion. Inferior turbinate mucoperiosteal resection is better than inferior turbinate mucoperiosteal microwave for treating chronic hypertrophic rhinitis.
Keywords:chronic hypertrophic rhinitis  inferior turbinate mucoperiosteal resection  microwave treatment
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