摘要
目的 :探讨治疗肥厚性鼻炎 (HR) 3种下鼻甲手术的特点 ,提出选择术式的建议。方法 :16 2例HR患者分别行下鼻甲骨黏骨膜下切除术 (A组 )、下鼻甲部分切除术 (B组 )和下鼻甲黏膜下微波热凝术 (C组 )。结果 :3种下鼻甲术式的有效率分别为 :A组 94 .6 %、B组 83.7%、C组 88.9% ,其差异均无显著性意义 (P >0 .0 5 ) ,但各有其特点和适用范围。结论 :下鼻甲骨黏骨膜下切除术适用于下鼻甲骨质增厚为主的HR ;下鼻甲黏膜下微波热凝术首选于下鼻甲黏膜增厚为主的HR ;下鼻甲部分切除术则应慎重选用 。
Objective:To analyses the features of three operative manner of inferior turbinate on hypertrophic rhinitis (HR) and to propose some suggestion for selection of operative manner on HR.Method:One hundred and sixty-two cases of HR were treated separately by submucoperiosteous resection of inferior turbinate bone (group A), partial inferior turbinectomy (group B) and submucosal hot-coagulation of inferior turbinate with microwave (group C).Result:Three groups of HR were followed up one year after operation.effective rate was 94.6% in group A, 83.7% in group B and 88.9% in group C respectively. Effective rate had no significant difference among three groups (P> 0.05).Conclusion:Submucoperiosteous resection of inferior turbinate bone is safe, effective manner for HR with inferior turbinate bony hypertrophy.The same is submucosal hot-coagulation of inferior turbinate by microwave for mucosal hypertrophy. Partial inferior turbinectomy should be preformed cautiously on HR in order to protect the anatomical structure and physiologic functions of nose.
出处
《临床耳鼻咽喉科杂志》
CSCD
北大核心
2003年第11期661-663,共3页
Journal of Clinical Otorhinolaryngology
关键词
鼻炎
肥厚性
鼻甲切除术
微波
Rhinitis,hypertrophic
Turbinectomy
Microwave
