等离子射频消融术治疗肥厚性鼻炎王昱1，李厚品2（北京中医药大学.doc

等离子射频消融术治疗肥厚性鼻炎 王昱1 ， 李厚品2 （北京中医药大学附属第三医院 耳鼻喉科 100029） 【摘要】目的:探讨等离子射频消融术治疗慢性肥厚性鼻炎的临床疗效。方法:对32例经临床诊断为慢性肥厚性鼻炎的病例进行下鼻甲等离子消融治疗。结果:经术后随访3～6个月,所有患者均取得较满意的疗效。结论:等离子射频消融术对慢性肥厚性鼻炎的下鼻甲肥大具有较好的近期疗效,且方便、安全、微创、术后并发症少,值得推广应用。 【关键词】等离子射频消融;肥厚性鼻炎 慢性肥厚性鼻炎是以粘膜、粘膜下层甚至骨膜和骨的局限性或弥漫性增生肥厚为特点的慢性炎症,以下鼻甲最为明显,其前、后端和下缘可呈结节状、桑椹状或分叶状肥厚,或发生息肉样改变[1].慢性鼻炎所致的下鼻甲肥大是鼻塞的常见原因。肥厚性鼻炎的手术治疗有切除、微波、射频、激光等方法,治疗虽有效，但均存在对下鼻甲粘膜过度损伤、出血破坏,引起周围组织瘢痕纤维化等改变,术后也常出现结痂、鼻腔粘连、鼻腔干燥、嗅觉减退等并发症,从而不同程度地影响了鼻腔生理功能[2]。我科从2007年应用美国杰西2000耳鼻喉等离子射频消融手术系统治疗由于下鼻甲粘膜肥厚造成鼻塞32例,随访3～6个月,均获得了较好的疗效。 ?????? THE APPLICATION OF RADIOFREQUENCY ABLATION TECHNOLOGY TO TREATING HYPERTROPHIC RHINITIS ?????????????????????????????????????????????????????? Wang Yu??? Li Houpin ???????????????????????????????????? Third Hospital Attached to Beijing Chinese Medicine University ? Obstruct? Objective: to research for clinical effect for treating chronic hypertrophic rhinitis using radiofrequency ablation technology. Methods: to treat inferior turbinate of 32 patients characterized by chronic hypertrophic rhinitis using radiofrequency ablation technology. Results: all of the patients produced satisfactory curative effect after three to six months. Conclusion: the good immediate curative effect can be obtained for treating inferior turbinate hypertrophy of chronic hypertrophic rhinitis using radiofrequency ablation technology. It is convenient , safe, microtraumatic. In addition, it is not easy that complications occur after surgery. So this method can be widely applied. ? Key words: radiofrequency ablation, hypertrophic rhinites??????? Chronic hypertrophic rhinitis is a chronic inflammation characterized by the hyperplasia to be fleshy of mucous membrane, inferior layer of mucous membrane further periosteum and bone limitations or vagueness, in which the inflammation of inferior turbinate is the most evident, its front and rear ends and lower edge assume hypertrophy, the shaper of which is knot or like mulberry or separate leaves, or it is possible that t