鼻内镜下等离子射频行鼻后神经切断术治疗中重度变应性鼻炎疗效观察
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青岛大学附属威海医院

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Observation on the effect of nasal resection in moderate to severe allergic rhinitis
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Weihai Hospital Affiliated to Qingdao University

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    摘要:

    目的 探讨鼻内镜下等离子射频行鼻后神经切断治疗中重度持续性变应性鼻炎的疗效。方法 威海市市立二院 2015年1至月2018年1月收治的80例合并下鼻甲肥大的中重度变应性鼻炎患者,其中46例同时合并有鼻中隔偏曲,所有患者应用等离子射频行鼻后神经切断术,同时行下鼻甲成形术;对46例患者合并鼻中隔偏曲行鼻中隔矫正术,观察手术前后变应性鼻炎症状改善情况。 结果 经随访1年有效率100%,2年有效率95%,3年有效率88.75%,患者术后1年、2年、3年VAS总评分均比术前明显好转,3年内随着年限延长,治疗有效率逐年下降,VAS总评分逐年上升。结论 鼻内镜下等离子射频行鼻后神经切断联合鼻中隔矫正及下鼻甲成形术治疗中重度变应性鼻炎疗效确切,长期效果仍需要进一步研究。

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    Objective To investigate the effect of nasal endoscopic plasma RF posterior nasal dissection in moderate to severe persistent allergic rhinitis. Methods 80 patients with moderate and severe allergic rhinitis were admitted in Weihai Municipal Second Hospital from January 2015 to January 2018, Of these, 46 were combined with simultaneous nasal septal deviation, All patients underwent a postnasal neurotomy using plasma RF, At the same time, the lower rhinoplasty performed; In 46 patients with nasal septum, Observe the improvement of allergic rhinitis before and after surgery. Results were 100% effective after 1 year follow-up, 2 Years with 95% Efficiency, 3 Years of Efficiency of 88.75%, The overall score of VAS after 1,2 and 3 years improved significantly compared with before surgery, Within 3 years with extended extension, Treatment efficiency has decreased year by year, The total VAS score rose year by year. Conclusion The effect of combined with nasal sepcorrection and inferior rhinomeplasty on moderate and severe allergic rhinitis. the long-term effect still needs to be further studied.

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  • 收稿日期:2021-06-06
  • 最后修改日期:2021-07-06
  • 录用日期:2021-07-07
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