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前筛神经甘油切断术治疗血管运动性鼻炎

Anterior ethmoidal glycerol rhizotomy for vasomotor rhinitis.

作者信息

Yue W L

机构信息

Department of Otolaryngology, Pingdingshan People's Hospital No. 1, Henan, People's Republic of China.

出版信息

Ear Nose Throat J. 1995 Nov;74(11):764-7.

PMID:8536564
Abstract

The treatment of vasomotor rhinitis by anterior ethmoidal glycerol rhizotomy (AEGR) was assessed in 78 patients with a follow-up period ranging from 12 to 15 months. The reduction of nasal hypersecretion obtained with AEGR was maintained over six months. At the final assessment, sixty patients (76.9%) reported complete relief of symptoms and are taking no medications; seven (8.9%) were improved with minimal drug therapy required for symptom relief; and 11.9% had poor results with unsatisfactory control even with medication. Nineteen patients required a second treatment because of an initial suboptimal infection or recurrence. Apparently, this method offers those patients with vasomotor rhinitis a valid option for treatment of clinical symptoms, with the additional benefit of experiencing no serious complications when compared with vidian neurectomy.

摘要

对78例血管运动性鼻炎患者进行了前筛窦甘油神经切断术(AEGR)治疗,并随访12至15个月。AEGR术后鼻分泌物过多减少的情况持续了6个月以上。在最终评估时,60例患者(76.9%)报告症状完全缓解且无需服药;7例(8.9%)病情改善,仅需极少药物治疗来缓解症状;11.9%的患者效果不佳,即使服药症状控制也不理想。19例患者因初始感染效果欠佳或复发而需要二次治疗。显然,与岩浅大神经切断术相比,这种方法为那些血管运动性鼻炎患者提供了一种有效的临床症状治疗选择,且不会出现严重并发症。

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