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鼻内镜下下鼻甲骨部分切除术治疗慢性肥厚性鼻炎临床体会 被引量:4

Clinical Experience of Nasal Endoscopic Partial Turbinate Excision in the Treatment of Chronic Hypertrophic Rhinitis
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摘要 目的探讨鼻内镜下下鼻甲骨部分切除术治疗慢性肥厚性鼻炎的手术方法及临床疗效。方法将2010年2月至2012年5月我院124例慢性肥厚性鼻炎患者随机均分为观察组和对照组,每组62例。观察组采用鼻内镜下下鼻甲骨部分切除术治疗,对照组采取传统下鼻甲部分切除术治疗,观察两组治疗有效率及并发症情况。结果观察组治疗总有效率为100.00%,对照组治疗总有效率为95.2%,两组比较无显著差异(P>0.05);但观察组术后无并发症,对照组并发症发生率为35.5%,两组比较差异显著(P<0.01)。结论鼻内镜下下鼻甲骨部分切除术治疗慢性肥厚性鼻炎术野清晰,便于安全操作,且术后肿胀轻微,鼻腔内无粘连,无并发症,鼻腔粘膜无损伤,保存鼻腔生理功能且疗效好,值得推广应用。 Objective To explore surgical methods and clinical efficacy of nasal endoscopic partial turbinate excision for treatment of chronic hypertrophic rhinitis. Methods 124 patients with chronic hypertrophic rhinitis in our hospital were randomly and averagely divided into observation group and control group, with 62 cases in each group, The patients in the observation group were treated with partial turbinate resection of intranasal endoscopic surgery, while the patients in the control group were treated with traditional inferior mrbinate resection surgery. The treatment efficacy and the complications were observed. Results The total effective rate of the observation group was 100.00% , and the total effective rate of the control group was 95.2%, the difference of total effective rate between two groups was not statistically significant (P 〉0.05). The observation group had no postoperative complications, while the complication rate of the control group was 35.5%, the difference of complication rate between two groups was statistically significant (P 〈0.01). Conclusions Nasal endoscopic partial turbinate resection for treatment of chronic hypertrophic rhinitis has a clear operative field for safe operation, slight postoperative swelling, no nasal adhesions or complications, preservation of nasal physiological functions and good effect, which is worthy of promotion and application.
出处 《临床医学工程》 2012年第8期1304-1305,共2页 Clinical Medicine & Engineering
关键词 鼻内镜 慢性肥厚性鼻炎 下鼻甲骨 Nasal endoscopy Chronic hypertrophic rhinitis Turbinate
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