内镜黏膜下下鼻甲骨部分切除术联合筛前神经阻断术治疗变应性鼻炎的疗效探讨(1)
[摘要] 目的 探讨内镜黏膜下下鼻甲骨部分切除术联合筛前神经阻断术治疗变应性鼻炎的疗效。方法 方便选取该院于2014年11月—2017年11月期间接收的60例变应性鼻炎患者，随机分为对照组(n=30)给予内镜黏膜下下鼻甲骨部分切除术，观察组(n=30)给予内镜黏膜下下鼻甲骨部分切除术联合筛前神经阻断术治疗，对两组疗效及临床症状评分、复发率、并发症发生情况进行观察。 结果 观察组患者的临床有效率为93.3%，显著高于对照组的73.3%(χ2=14.38，P<0.05)；治疗后，观察组患者各项症状评分均显著改善(P<0.05)，且各项症状评分均较对照组显著要低(P<0.05)；治疗6个月内，观察组复发率为3.3%，显著低于對照组的20.0%(χ2=8.13，P<0.05)。 结论 变应性鼻炎采取内镜黏膜下下鼻甲骨部分切除术联合筛前神经阻断术治疗，疗效显著，具有临床推广价值。
[关键词] 变应性鼻炎；下鼻甲骨部分切除术；复发率；筛前神经阻断术
[中图分类号] R765.21；R765.9 [文献标识码] A [文章编号] 1674-0742(2018)07(c)-0063-03
Endoscopic Submucosal Inferior Turbinate Partial Excision Combined with Anterior Ethmoidal Nerve Block for the Treatment of Allergic Rhinitis
JIANG Teng-xiang， GUI Ping， DA Mu-suo， WANG Liang， HUANG Long
Department of Otolaryngology， CITIC Huizhou Hospital， Huizhou， Guangdong Province， 516000 China
[Abstract] Objective To evaluate the efficacy of subtotal submural inferior turbinate resection combined with anterior ethmoidal nerve block for the treatment of allergic rhinitis. Methods A total of 60 patients with allergic rhinitis convenient received in the hospital from November 2014 to November 2017 were randomly divided into control group(n=30) to receive partial submucosal inferior turbinate resection and the observation group(n=30) Endoscopic submucosal inferior turbinate partial resection combined with anterior ethmoidal nerve block was performed to observe the efficacy， clinical symptom score， recurrence rate， and complications of the two groups. Results The clinical effective rate of the observation group was 93.3%， which was significantly higher than that of the control group (73.3%)(χ2=14.38， P<0.05). After treatment， the symptom scores of the observation group were significantly improved(P<0.05). The symptom scores were significantly lower than those in the control group (P<0.05). Within 6 months of treatment， the recurrence rate in the observation group was significantly lower than that in the control group(3.3% vs 20.0%) (χ2=8.13， P<0.05). Conclusion Allergic rhinitis is treated with partial submucosal inferior turbinate resection combined with anterior ethmoidal nerve block. The curative effect is significant and has clinical value.
[Key words] Allergic rhinitis； Partial excision of inferior turbinate； Recurrence rate； Anterior ethmoidal nerve block
变应性鼻炎是临床常见疾病，据相关报道[1]，变应性鼻炎的发病率约为12%～45%。近年来，随着环境污染的加重，其发病率逐渐上升，已成为全球性的而健康问题。目前，临床治疗变应性鼻炎主要采取药物治疗，但停药后易复发，且疗程长，故对于药物治疗疗效不明显，或无法耐受药物不良反应或不愿意长期接受药物治疗者可考虑手术治疗。该院于2014年11月—2017年11月期间对该院接收的30例变应性鼻炎患者采取内镜黏膜下下鼻甲骨部分切除术联合筛前神经阻断术治疗，取得满意疗效，现报道如下。, http://www.100md.com(江腾湘 贵萍 达木索 王亮 黄龙)
[关键词] 变应性鼻炎；下鼻甲骨部分切除术；复发率；筛前神经阻断术
[中图分类号] R765.21；R765.9 [文献标识码] A [文章编号] 1674-0742(2018)07(c)-0063-03
Endoscopic Submucosal Inferior Turbinate Partial Excision Combined with Anterior Ethmoidal Nerve Block for the Treatment of Allergic Rhinitis
JIANG Teng-xiang， GUI Ping， DA Mu-suo， WANG Liang， HUANG Long
Department of Otolaryngology， CITIC Huizhou Hospital， Huizhou， Guangdong Province， 516000 China
[Abstract] Objective To evaluate the efficacy of subtotal submural inferior turbinate resection combined with anterior ethmoidal nerve block for the treatment of allergic rhinitis. Methods A total of 60 patients with allergic rhinitis convenient received in the hospital from November 2014 to November 2017 were randomly divided into control group(n=30) to receive partial submucosal inferior turbinate resection and the observation group(n=30) Endoscopic submucosal inferior turbinate partial resection combined with anterior ethmoidal nerve block was performed to observe the efficacy， clinical symptom score， recurrence rate， and complications of the two groups. Results The clinical effective rate of the observation group was 93.3%， which was significantly higher than that of the control group (73.3%)(χ2=14.38， P<0.05). After treatment， the symptom scores of the observation group were significantly improved(P<0.05). The symptom scores were significantly lower than those in the control group (P<0.05). Within 6 months of treatment， the recurrence rate in the observation group was significantly lower than that in the control group(3.3% vs 20.0%) (χ2=8.13， P<0.05). Conclusion Allergic rhinitis is treated with partial submucosal inferior turbinate resection combined with anterior ethmoidal nerve block. The curative effect is significant and has clinical value.
[Key words] Allergic rhinitis； Partial excision of inferior turbinate； Recurrence rate； Anterior ethmoidal nerve block
变应性鼻炎是临床常见疾病，据相关报道[1]，变应性鼻炎的发病率约为12%～45%。近年来，随着环境污染的加重，其发病率逐渐上升，已成为全球性的而健康问题。目前，临床治疗变应性鼻炎主要采取药物治疗，但停药后易复发，且疗程长，故对于药物治疗疗效不明显，或无法耐受药物不良反应或不愿意长期接受药物治疗者可考虑手术治疗。该院于2014年11月—2017年11月期间对该院接收的30例变应性鼻炎患者采取内镜黏膜下下鼻甲骨部分切除术联合筛前神经阻断术治疗，取得满意疗效，现报道如下。, http://www.100md.com(江腾湘 贵萍 达木索 王亮 黄龙)