慢性肥厚性鼻炎手术方式探讨及其手术前后下鼻甲病理和超微结构观察-耳鼻咽喉科学专业毕业论文.docxVIP

温州医学院硕士学位论文和c组鼻腔黏膜盯R术前与术后分别为：A组6．55±0，49(mm·rain一1)，6．52----- 温州医学院硕士学位论文 和c组鼻腔黏膜盯R术前与术后分别为：A组6．55±0，49(mm·rain一1)，6．52----- 0．74(ram·rain。1)；c组6．534-0．40(ram·luln‘)，6．464-0．47(ram·inin-。)，差异无统 计学意义口O．05)，B组鼻腔黏膜MTR术前为6．52±0．41(mm·man。)，术后3．54 _+0A5(mm·rain“)．差异有统计学意义(P0．01)。A组和c组术后6个月各I例病 理光镜见假复层纤毛柱状上皮基本完整，B组1例术后6个月黏膜上皮脱落，纤 维组织增生。下鼻甲电镜超微结构观察，A组和C组术后6个月各l饲术后纤 毛结构大部分存在，B组术后6个月1例上皮结构消失，纤维组织大量增生，提 示A、B、C三组术式治疗鼻阻塞疗效确切，A组和C组术式术后下鼻甲黏膜上 皮基本完整，纤毛结构保存相对完好，鼻腔黏膜MTR维护好。B组术式可损伤下 鼻甲黏膜及其表面的纤毛结构，影响鼻腔黏膜MTR。结论：鼻内镜下下鼻甲黏膜 下成形术和鼻内镜下低温等离子双极射频消融下鼻甲减容术是治疗慢性肥厚性 鼻炎较好的手术方式，下鼻甲黏膜下微创术是治疗慢性肥厚性鼻炎值得推荐的手 术方法。 关键词：肥厚性鼻炎；下鼻甲：外科，手术；显微镜检查，电子；组织病理学 温州医学院硕士学位论文The 温州医学院硕士学位论文 The Exploration of the Types of Operation for Treatment of Chronic Hypertrophy Rhinitis with Pathologic Morphology and Uitrastructure 0bservation of Inferior Turbinate Mucosa Pre-and Post．operatiVeIy Dc)3artment ofOtolaryngology—Head and Neck Smgery,Yangpo District Central Hospital，Shanghai 200090,ER．China Abstract objective；To study the best surgieal technique for treatment of cllromc hypertrophy rhinitis fHR)bY observation of the pathologic moTphology and ultrastructure and analysis of the visual analogue score WAS)and mucociliary transport rat(MTR)pre-and post-operatively Methods：86 cases with cllromc hypenropinc rhinitis(HR)were selected random mto 3 groups．30 casfs weie treated by trazlsnasal endoscopic mbmucous thf嘶or turbinate resecUon‘group A)．26 cascs wd自te treated bY partial inferior turbinecmmy (group B1 and 30 cases were treated by bipolar radiofrequency ablation蛐inferior turbinate(group C)，Every cag in three group was examined by pathologic mofphology and ollrastrttcttwe in 6 months after operation．The efficacy in the 3 groups and the features ofthree types ofoperation were compared．The MTR and the VAS wcl-e determined in 3 groups．the pathologic morphology．and ultrastructure of inferior turbinate wcl-e observed after 6 months operation． 温抖I医学院硕士学位论文Results：All 温抖I医学院硕士学位论文 Results：All cases with HR in 3 groups wgfo fol