摘要
目的:探讨鼻内镜下低温等离子射频消融术治疗慢性鼻-鼻窦炎(CRS)患者的效果。方法:选取2023年1月至2024年5月该院收治的60例CRS患者进行前瞻性研究,采用随机数字表法将其分成对照组和研究组各30例。对照组给予鼻内镜手术治疗,研究组给予鼻内镜下低温等离子射频消融术治疗,比较两组手术前后鼻腔黏液纤毛功能指标[糖精清除时间(SCT)、黏液纤毛传输速率(MTR)]水平、鼻腔通气功能指标[鼻气道阻力(NAR)、鼻腔容积(NCV)、鼻腔最小横截面积(NMCA)]水平、嗅觉功能评分、生命质量[鼻腔鼻窦结局测试-20中文版(SNOT-20)]评分,以及术后1个月并发症发生率。结果:术后,两组SCT均短于术前,且研究组短于对照组,两组MTR均高于术前,且研究组高于对照组,差异有统计学意义(P<0.05);术后,两组NAR均小于术前,且研究组小于对照组,两组NMCA、NCV均大于术前,且研究组大于对照组,差异有统计学意义(P<0.05);术后,两组嗅觉功能和SNOT-20评分均低于术前,且研究组低于对照组,差异有统计学意义(P<0.05);两组并发症发生率比较,差异无统计学意义(P>0.05)。结论:鼻内镜下低温等离子射频消融术治疗CRS患者可改善鼻腔黏液纤毛功能指标和鼻腔通气功能指标水平,降低嗅觉功能和生命质量评分,效果优于鼻内镜手术治疗。
Objective:To investigate effects of low temperature plasma radiofrequency ablation under nasal endoscopy in treatment of patients with chronic rhinosinusitis(CRS).Methods:A prospective study was conducted on 60 patients with CRS admitted to this hospital from January 2023 to May 2024.They were divided into control group and study group by using the random number table method,30 cases in each group.The control group was treated with nasal endoscopic surgery,while the study group was treated with low temperature plasma radiofrequency ablation under nasal endoscopy.The levels of nasal mucociliary function indexes[saccharin clearance time(SCT),mucociliary transmission rate(MTR)]and nasal ventilation function indexes[nasal airway resistance(NAR),nasal volume(NCV),nasal minimum cross-sectional area(NMCA)],the olfactory function score,the quality of life[sinonasal outcome test-20 Chinese version(SNOT-20)]score before and after the surgery,and the incidence of complications 1 month after the surgery were compared between the two groups.Results:After the surgery,the SCT of the two groups were shorter than those of the control group,and that in the study group was shorter than that in the control group;the MTR of the two groups was higher than that before the surgery,and that in the study group was higher than that in the control group;and the differences were statistically significant(P<0.05).After the surgery,the NAR of the two groups was smaller than that before the surgery,and that of the study group was smaller than that of the control group;the NMCA and NCV of the two groups were greater than those before the surgery,and those in the study group were greater than those in the control group;and the differences were statistically significant(P<0.05).After the surgery,the olfactory function and SNOT-20 scores of the two groups were lower than those before the surgery,those of the study group were lower than those of the control group,and the differences were statistically significant(P<0.05).However,there was no significant difference in the incidence of complications between the two groups(P>0.05).Conclusions:Low temperature plasma radiofrequency ablation under nasal endoscopy in the treatment of the CRS patients can improve the levels of nasal mucociliary function indexes and nasal ventilation function indexes,and reduce the olfactory function and quality of life scores.Moreover,it is superior to nasal endoscopic surgery.
作者
王海斌
WANG Haibin(Department of Otorhinolaryngology of Zhengyang County People’s Hospital,Zhumadian 463600 Henan,China)
出处
《中国民康医学》
2025年第21期62-65,共4页
Medical Journal of Chinese People’s Health
关键词
慢性鼻-鼻窦炎
低温等离子射频消融术
鼻内镜
黏液纤毛
通气功能
嗅觉功能
生命质量
Chronic rhinosinusitis
Low temperature plasma radiofrequency ablation
Nasal endoscopy
Mucous cilia
Ventilation function
Olfactory function
Quality of life
