[射频消融在鼻腔手术中的联合应用]

[Combination application of radiofrequency ablation in nasal operation].

作者信息

Ding Haifeng, Liu Jun, Wang Taojiao, Xia Guoqing, Liu Weirong

机构信息

Department of Otolaryngology, Central Hospital of Huangshi, 435000, China.

出版信息

Lin Chuang Er Bi Yan Hou Ke Za Zhi. 2005 Oct;19(20):918-9, 922.

PMID:16398044

Abstract

OBJECTIVE

To investigate the clinical efficacy of radiofrequency ablation in treating the inferior turbinates hypertrophic and allergic rhinitis after septoplasty or nasal polypectomy.

METHOD

Ninety-one patients with nasal septum deviation or nasal polyp with inferior turbinates hypertrophic and(or) allergic rhinitis were underwent septoplasty or nasal polypectomy. Sixty-two cases of 91 patients with inferior turbinates hypertrophic or allergic rhinitis underwent radiofrequency ablation, 29 cases did not. The preoperative and postoperative nasal obstructions were investigated by visual analogue scale (VAS). Allergic rhinitis symptoms were assessed by 1997s Haikou standard.

RESULT

The nasal obstruction and allergic symptom of 62 patients who underwent radiofrequency ablation were improved in 3 months postoperatively. VAS improved from (89.5+/-8.7) % to (26.2+/-8.7) % (left side) and (90.3+/-10.5) % to (32.1+/-10.3) % (right side) (P < 0.01). In control group: VAS improved from (90.5+/-8.0) % to (39.2+/-8.9) % (left side) and (89.9+/-11.5) % to (48.1+/-8.1) % (right side) (P <0.01). However, the mean of postoperative nasal obstruction VAS in radiofrequency ablation group is significantly higher than that in control group (P <0.01).

CONCLUSION

Combination application of radiofrequency ablation in nasal operation to cure the inferior turbinates hypertrophic and allergic rhinitis is a safe, effective and less traumatic method.

摘要

目的

探讨射频消融术治疗鼻中隔成形术或鼻息肉切除术后下鼻甲肥大及变应性鼻炎的临床疗效。

方法

91例鼻中隔偏曲或鼻息肉合并下鼻甲肥大和（或）变应性鼻炎患者接受鼻中隔成形术或鼻息肉切除术。91例下鼻甲肥大或变应性鼻炎患者中，62例行射频消融术，29例未行。采用视觉模拟评分法（VAS）评估术前及术后鼻阻塞情况。变应性鼻炎症状按1997年海口标准进行评估。

结果

62例行射频消融术患者术后3个月鼻阻塞及变应性症状均改善。VAS评分左侧从（89.5±8.7）%改善至（26.2±8.7）%，右侧从（90.3±10.5）%改善至（32.1±10.3）%（P<0.01）。对照组：VAS评分左侧从（90.5±8.0）%改善至（39.2±8.9）%，右侧从（89.9±11.5）%改善至（48.1±8.1）%（P<0.01）。然而，射频消融组术后鼻阻塞VAS评分均值显著高于对照组（P<0.01）。