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变应性鼻炎患者下鼻甲射频消融术前及术后的鼻声反射评估

Acoustic rhinometry evaluation in allergic rhinitis patients before and after turbinate radiofrequency ablation.

作者信息

Ungkhara Girapong, Purpermpulsiri Pichai

机构信息

Department of Otolaryngology, BMA Medical College and Vajira Hospital, Bangkok, Thailand.

出版信息

J Med Assoc Thai. 2011 Feb;94(2):200-4.

Abstract

OBJECTIVE

To evaluate the outcome of turbinate radiofrequency ablation (RFA) by acoustic rhinometry. MATEIAL AND METHOD: Thirty allergic rhinitis (AR) patients aged 19-62 years old were recruited for this cross sectional prospective study. They all underwent radiofrequency turbinate ablation for chronic nasal obstruction. The acoustic rhinometry evaluation, total nasal symptom score, and nasal obstruction score before and after surgery were analyzed at second, fourth, and eighth week.

RESULTS

The mean age of the 30 AR patients was 39.5 years old and two patients required a second operation. After surgery, the total nasal symptom score (TSS) and the difference mean of cross-section area (CSA) I were improved in 2-4 weeks and 4-8 weeks respectively but total nasal volume was not changed.

CONCLUSION

The authors can use acoustic rhinometry to evaluate short-term result of turbinate radiofrequency ablation. The subjective symptoms were prominently seen in 2-4 weeks after surgery and before the objective result by acoustic rhinometry shown at 4-8 weeks.

摘要

目的

通过声反射鼻测量法评估鼻甲射频消融术(RFA)的效果。材料与方法:招募30例年龄在19 - 62岁的变应性鼻炎(AR)患者进行这项横断面前瞻性研究。他们均因慢性鼻阻塞接受了鼻甲射频消融术。在术后第2周、第4周和第8周分析声反射鼻测量评估、术前和术后的总鼻症状评分以及鼻阻塞评分。

结果

30例AR患者的平均年龄为39.5岁,2例患者需要二次手术。术后,总鼻症状评分(TSS)和横截面面积(CSA)I的差异均值分别在2 - 4周和4 - 8周得到改善,但总鼻腔容积未改变。

结论

作者可以使用声反射鼻测量法评估鼻甲射频消融术的短期效果。主观症状在术后2 - 4周明显出现,而声反射鼻测量法显示的客观结果在4 - 8周出现。

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