Luczaj Jarosław, Rogowski Marek
Klinika Otolaryngologii AM w Białymstoku.
Otolaryngol Pol. 2007;61(3):290-4. doi: 10.1016/S0030-6657(07)70428-6.
Disturbance of nasal airflow occurs in about 30% of human population. Turbinate hypertrophy is frequently the base of many nasal obturative diseases. The aim of this study was to determine short- term and long term effects of the radiofrequency therapy (RFT) for patients with turbinate hypertrophy. Forty- one patients with inferior turbinate hypertrophy (19 females and 22 males) were enrolled in this study prospectively. The examination included: rhinoscopy, subiective visual analogue scale (VAS) score, in which a patient described his symptoms in points from 0, (always very good nasal airflow) to 10 points (always total obstruction) and anterior rhinomanometry. The clinical assessment was before radiofrequency-turbinectomy and within the days 7 to 25 afther this therapy (follow-up 1) and 12 months later (follow-up 2). RFT was performed in local anesthesia (1% Lidocain) by means of CELON. Rhinoscopy before RFT revealed turbinate hypertrophy, which was decreased in the follow-up examination. Subjective improvement of nasal airflow was felt by 39 patients (95%) at follow-up 1. At follow-up 2 fifteen patients (37%) reported a decreased nasal airflow when compared with the follow-up 1. Rhinomanometric results were better at follow-up 1 for the left side (p = 0,0003), the right side (p = 0,0002) and both sides altogether (p = 0,0001). The improvement continued at follow-up 2 for the left side (p = 0,0004), the right side (p = 0,001) and both sides (p = 0,001) when compared with rhinomanometry before RFT. There were not statistically significant differences between the rhinomanometric results at follow-up 1 and follow-up 2. Bipolar radiofrequency thermal ablation is an effective method for the therapy of turbinate hypertrophy.
约30%的人群存在鼻气流紊乱。鼻甲肥大常常是许多鼻阻塞性疾病的根源。本研究的目的是确定射频治疗（RFT）对鼻甲肥大患者的短期和长期影响。41例下鼻甲肥大患者（19例女性和22例男性）前瞻性纳入本研究。检查包括：鼻内镜检查、主观视觉模拟量表（VAS）评分（患者用0分（鼻气流一直非常好）至10分（一直完全阻塞）来描述其症状）以及前鼻测压法。临床评估在射频鼻甲切除术前以及该治疗后7至25天（随访1）和12个月后（随访2）进行。RFT在局部麻醉（1%利多卡因）下通过CELON进行。RFT前的鼻内镜检查显示鼻甲肥大，在随访检查中其程度减轻。随访1时，39例患者（95%）感觉鼻气流有主观改善。随访2时，15例患者（37%）报告与随访1相比鼻气流减少。前鼻测压结果在随访1时左侧（p = 0.0003）、右侧（p = 0.0002）以及两侧总体（p = 0.0001）均更好。与RFT前的前鼻测压相比，随访2时左侧（p = 0.0004）、右侧（p = 0.001）以及两侧（p = 0.001）的改善仍持续。随访1和随访2的前鼻测压结果之间无统计学显著差异。双极射频热消融是治疗鼻甲肥大的一种有效方法。
