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下鼻甲肥大射频组织减容术的长期临床效果

Long-term clinical results of radiofrequency tissue volume reduction for inferior turbinate hypertrophy.

作者信息

Cukurova I, Demirhan E, Cetinkaya E A, Yigitbasi O G

机构信息

Department of ENT and Head and Neck Surgery, İzmir Tepecik Training and Research Hospital, İzmir, Turkey.

出版信息

J Laryngol Otol. 2011 Nov;125(11):1148-51. doi: 10.1017/S0022215111001976. Epub 2011 Aug 26.

Abstract

OBJECTIVE

To investigate the long-term clinical results of radiofrequency tissue volume reduction for symptomatic inferior turbinate hypertrophy.

STUDY DESIGN

Patients who were unresponsive to medical treatment (n = 197) received turbinate reduction using radiofrequency energy. Subjective symptoms were assessed using a 10 cm visual analogue scale, and all patients underwent acoustic rhinometry before the procedure and six, 24, 48 and 60 months afterwards.

RESULTS

Of the 197 treated patients, 148 completed the protocol. No significant peri-operative complications were observed. Thirty-two patients required follow-up treatment. Significant improvements were seen in nasal obstruction and discharge scores and in acoustic rhinometry values, at six, 24, 48 and 60 months post-operatively, compared with pre-operative values (p < 0.001 and p < 0.05, respectively).

CONCLUSION

Radiofrequency tissue volume reduction is an effective procedure for inferior turbinate hypertrophy. The clinical benefit of this procedure persisted 60 months after the procedure.

摘要

目的

探讨射频组织减容术治疗症状性下鼻甲肥大的长期临床效果。

研究设计

对药物治疗无效的患者(n = 197)采用射频能量进行下鼻甲减容术。使用10厘米视觉模拟量表评估主观症状,所有患者在手术前以及术后6个月、24个月、48个月和60个月接受鼻声反射测量。

结果

197例接受治疗的患者中,148例完成了方案。未观察到明显的围手术期并发症。32例患者需要后续治疗。与术前值相比,术后6个月、24个月、48个月和60个月时,鼻塞和流涕评分以及鼻声反射测量值均有显著改善(分别为p < 0.001和p < 0.05)。

结论

射频组织减容术是治疗下鼻甲肥大的有效方法。该手术的临床益处术后持续60个月。

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