鼻内镜下手术治疗变应性鼻炎伴鼻中隔偏曲的临床探究.docxVIP

鼻内镜下手术治疗变应性鼻炎伴鼻中隔偏曲的临床研究 张中宝，王琴2,袁勇，龙朝庆，容庆丰， 中山市小榄人民医院1.耳鼻喉科，2.神经内科，528415 摘要：目的：探讨鼻内镜下手术治疗变应性鼻炎(AR)伴鼻中隔偏曲的效果。方法：选择2014年12月至 2017年12月我院耳鼻喉科收治的100例AR伴鼻中隔偏曲患者为研究对象，根据随机数字表法分为两组， 研究组(50例)行鼻内镜下鼻中隔黏膜下切除术联合下鼻甲黏膜下海绵体部分切除术，对照组(50例)行 常规鼻内镜下鼻中隔黏膜下切除术，比较两组疗效及并发症发生情况。结果：硏究组患者术后症状积分 (1.32+0. 36).体征积分(1.24 + 0. 27),对照组术后症状积分(1.61+0. 39).体征积分(1.87±0. 43), 组间比较，差异有统计学意义(P0. 05)o研究组患者术后糖精清除率(16. 32±2, 16) min、鼻腔阻力 (0. 30±0, 09) Kpa/(L?S),对照组患者术后糖精清除率(17.61 + 2. 25) min、鼻腔阻力(0. 47+0. 11) Kpa/(L?S),组间比较，差异有统计学意义(PV0.05)。研究组治疗有效率(94. 00%)高于对照组(84.00%), 差异具有统计学意义(PV0.05),两组并发症发生率(2. 00% VS 10. 00%)比较，差异无统计学意义(P 0.05)。结论：鼻内镜下鼻中隔黏膜下切除术联合下鼻甲黏膜下海绵体部分切除术治疗AR伴鼻中隔偏曲可 显著改善患者临床症状，效果优于单独鼻中隔黏膜下切除术，且并发症少c 关键词：鼻内镜下鼻中隔黏膜下切除术；下鼻甲黏膜下海绵体部分切除术；变应性鼻炎；鼻中隔偏曲；昴 内镜 Clinical study of endoscopic sinus surgery for allergic rhinitis with nasal septum deviation Zhang Zhongbao, Wang Qin2, Yuan Yong1, long Chao Qing1, Rong Qingfeng Zhongshan Xiaolan people* s Hospital 1. Department of ENT； 2. Internal Medicine-Neuro 1 ogy 528415 [Abstract]: Objective: To investigate the effect of endoscopic sinus surgery on nasa] septum deviation in patients with allergic rhinitis (AR). Methods: 100 cases of AR with nasal septum deviation admitted from December 2014 to December 2017 were selected and divided into two groups according to the random digital table method. The study group (50 cases) underwent endoscopic submucosal resection of nasal septum under nasal endoscopy combined with submucous cavernous submucosal partial resection of inferior turbinate, and the control group (50 cases). Endoscopic submucous resection of nasal septum was performed to compare the efficacy and complications of the two groups. Results: the symptom scores of the patients in the study group were (1. 32+0. 36), the integral (1.24+0.27), the symptom score of the control group (1. 61+0. 39) and the sign score (1.87+0.43). The difference between the groups was statistically significant (P0. 05). In the study group, the patients* saccharin clearance rate