慢性肥厚性鼻炎采用下鼻甲去骨及黏膜划痕术治疗临床疗效分析.docVIP

慢性肥厚性鼻炎采用下鼻甲去骨及黏膜划痕术治疗临床疗效分析 　　【摘要】 目的 探讨慢性肥厚性鼻炎采用下鼻甲去骨及黏膜划痕术治疗的临床疗效。方法 192例慢性肥厚性鼻炎患者， 随机分为对照组及治疗组， 各96例。对照组采用传统的下鼻甲部分切除术， 治疗组采用下鼻甲去骨及黏膜划痕术。比较两组患者术后治疗效果及并发症情况。结果 治疗组总有效率为100.00% ， 对照组总有效率为97.92%， 比较差异无统计学意义（P0.05）。治疗组并发症发生率0低于对照组17.71%， 差异具有统计学意义 （χ2=18.651， P0.05） 。结论 下鼻甲去骨及黏膜划痕术治疗慢性肥厚性鼻炎疗效确切， 并发症少， 值得推广。 　　【关键词】 慢性肥厚性鼻炎；下鼻甲去骨； 黏膜划痕术 　　DOI：10.14163/j.cnki.11-5547/r.2017.16.015 　　Analysis of clinical curative effect of chronic hypertrophic rhinitis treated with inferior turbinate boneless and mucosal scratches HUANG Yue， LIANG Dong-yong， LI Qu， et al. Nanning First People’s Hospital， Nanning 530022， China 　　【Abstract】 Objective To explore the clinical curative effect of chronic hypertrophic rhinitis treated with inferior turbinate boneless and mucosal scratches. Methods A total of 192 chronic hypertrophic rhinitis patients were randomly divided into control group and treatment group， with 96 cases in each group. The control group received traditional inferior turbinectomy， and the treatment group received inferior turbinate boneless and mucosal scratches. Comparison were made on postoperative therapeutic effect and complications situation in two groups. Results The treatment group had total effective rate as 100.00%， while the control group had total effective rate as 97.92%， and the difference had no statistical significance （P0.05）. The treatment group had lower incidence of complications as 0 than 17.71% in the control group， and the difference had statistical significance （χ2=18.651， P0.05）. Conclusion Inferior turbinate boneless and mucosal scratches shows affirmative curative effect in treating chronic hypertrophic rhinitis with few complications， and it is worthy of promotion. 　　【Key words】 Chronic hypertrophic rhinitis； Inferior turbinate boneless； Mucosal scratches 　　在临床工作中， 慢性肥厚性鼻炎是耳鼻喉科遇到的临床常见病之一。治疗慢性肥厚性鼻炎的关键是恢复鼻腔及鼻窦通气引流， 同时保留下鼻甲的生理功能。传统的治疗有下鼻甲部分切除术、激光、等离子消融、微波等方法， 但伴有不同程度的并发症。近年来， 本院采用鼻内镜下鼻甲去骨及黏膜划痕术治疗慢性肥厚性鼻炎， 取得较满意效果， 现报告如下。 　　1 资料与方法 　　1. 1 一般资