聚焦超声与微波治疗慢性肥厚性鼻炎的疗效观察.docVIP

聚焦超声与微波治疗慢性肥厚性鼻炎的疗效观察 　　[摘要] 目的 探讨聚焦超声与微波治疗慢性肥厚性鼻炎的临床疗效。方法 随机选取2012年1月―2015年12月期间该医院就诊的100例肥厚性鼻炎的患者，在知情同意的前提下，根据随机数字表的方法分为两组，每组50例，对照组在以上基础治疗前提下，给予的是微波治疗，观察组给予的是聚焦超声，随访6个月进行临床疗效观察。 结果 随访6个月后，观察组患者的临床总有效率为92%，显著高于对照组患者的76%，差异有统计学意义（χ2=4.38，P0.05），观察组患者出现鼻腔干燥、鼻出血、鼻腔黏连等情况分别为0例，1例，1例，并发症发生率为2例（4%）；对照组出现鼻腔干燥、鼻出血、鼻腔黏连等情况分别为8例，4例，1例，并发症发生率为13例（26%），观察组患者发生率显著低于对照组患者，差异有统计学意义（P0.05）。结论 聚焦超声治疗慢性肥厚性鼻炎的效果优于微波治疗，临床效果满意。 　　[关键词] 聚焦超声；微波治疗；慢性肥厚性鼻炎 　　[中图分类号] R765 [文献标识码] A [文章编号] 1674-0742（2016）04（c）-0008-03 　　[Abstract] Objective To discuss the clinical curative effect of focused ultrasound and ultrashort wave in treatment of chronic hypertrophic rhinitis. Methods 100 cases of patients with chronic hypertrophic rhinitis diagnosed in our hospital from January 2012 to December 2015 were selected and randomly divided into two groups with 50 cases in each with the consent of the patients， the control group were treated with ultrashort wave， the observation group were treated with focused ultrasound， and the clinical curative effect was observed after 6-month follow-up. Results After 6-month follow-up， the total clinical effective rate in the observation group was obviously higher than that in the control group with statistical significance， （92% vs 76%）， （χ2=4.38， P0.05）， mycteroxerosis， epistaxis and nasal synechia occurred to 0 case， 1 case and 1 case in the observation group and the incidence rate of complications was 4%（2 cases）， and mycteroxerosis， epistaxis and nasal synechia occurred to 8 cases， 4 cases and 1 case in the control group and the incidence rate of complications was 26% （13 cases）， and the incidence rate of the observation group was obviously lower than that of the control group with statistical significance（P0.05）. Conclusion The effect of focused ultrasound in treatment of chronic hypertrophic rhinitis is better than that of the ultrashort wave， and the clinical effect is satisfactory. 　　[Key words] Focused ultrasound； Ultrashort wave treatment； Chronic