Raja Hemal, Mitchell Scott, Barrett George, Sharma Ashish, Skinner Derek W
Department of Otolaryngology, Warrington and Halton Hospitals NHS Trust, Lovely Lane, WA5 1QG, UK.
Ear Nose Throat J. 2017 Apr-May;96(4-5):170-182.
We investigated the subjective, long-term, patient-reported symptom control after endoscopic potassium titanyl phosphate (KTP) laser reduction of the inferior turbinates. Symptoms were listed preoperatively and patients were asked, via telephone interview, the status of their symptoms. Chi-square analysis was used to assess statistical significance of the surgical intervention. Thirty-six patients (male:female ratio: 5:4) aged 13 to 80 years (mean: 37.2) were available for follow-up. The mean follow-up time was 68.47 months (range: 44 to 92). The principal symptom patients experienced was nasal obstruction (94.4%); postoperative improvement in this symptom at 44 months and beyond was reported by 85.3% of patients (chi-square 16.94, p < 0.001). Other symptoms, such as rhinorrhea and sneezing, showed no significant improvement at long-term follow-up. This study adds evidence to the long-term improvements in obstructive nasal symptoms using KTP laser reduction of the turbinates.
我们研究了经内镜磷酸钛氧钾（KTP）激光下鼻甲缩小术后患者报告的主观、长期症状控制情况。术前列出症状，并通过电话访谈询问患者症状状态。采用卡方分析评估手术干预的统计学意义。36例年龄在13至80岁（平均37.2岁）的患者（男女比例为5:4）可供随访。平均随访时间为68.47个月（范围：44至92个月）。患者经历的主要症状是鼻塞（94.4%）；85.3%的患者报告在44个月及以后该症状有术后改善（卡方值16.94，p<0.001）。其他症状，如鼻漏和打喷嚏，在长期随访中未显示出显著改善。本研究为使用KTP激光下鼻甲缩小术改善阻塞性鼻症状的长期效果增添了证据。
