Huang B, Li P, Meng Q X, He L, Gao X H, Xie J H
Department of Otorhinolaryngology,Guangzhou First People's Hospital,Guangzhou Medical University,510180,China.
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2017 Oct 5;31(19):1501-1503. doi: 10.13201/j.issn.1001-1781.2017.19.009.
To investigate the feasibility and effect of endoscopic-assisted posterior nasal neurotomy on patients with moderate-severe persistent allergic rhinitis (AR).Endoscopic-assisted posterior nasal neurotomy were operated on 32 moderate-severe persistent AR patients who were insensitive to drugs and desensitization treatment,and curative effect were evaluated by scoring according to the diagnosis and curative effect evaluation standard of AR.Follow-up evaluations were perfected after one year. Among them 17 cases were markedly effective,15 cases were effective,and the rate of total effective was 100%,without complications such as nose bleeds,dry eye,etc.The advantages of endoscopic-assisted posterior nasal neurotomy on moderate-severe persistent allergic rhinitis patients include the localization of posterior nasal nerve is clear,easy to operate,the short-term effect is remarkable,and less complications,therefore it's worth using on the AR patients who are failing in drugs and specific immune treatment.
探讨鼻内镜辅助下后鼻神经切断术治疗中重度持续性变应性鼻炎（AR）的可行性及疗效。对32例药物及脱敏治疗无效的中重度持续性AR患者行鼻内镜辅助下后鼻神经切断术，依据AR诊断和疗效评定标准进行评分以评估疗效，术后1年完善随访评估。其中显效17例，有效15例，总有效率为100%，无鼻出血、干眼等并发症发生。鼻内镜辅助下后鼻神经切断术治疗中重度持续性变应性鼻炎具有后鼻神经定位清晰、操作简便、近期疗效显著、并发症少等优点，对药物及特异性免疫治疗无效的AR患者值得应用。
