首页|鼻内镜手术联合低温等离子鼻甲射频消融术治疗慢性鼻窦炎患者的效果及对术后鼻通气功能及变态反应的影响

鼻内镜手术联合低温等离子鼻甲射频消融术治疗慢性鼻窦炎患者的效果及对术后鼻通气功能及变态反应的影响

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目的 探讨鼻内镜手术联合低温等离子鼻甲射频消融术治疗慢性鼻窦炎患者的效果。方法 选取 2020年1月至2022 年1月我院收治的80 例慢性鼻窦炎患者为研究对象,按手术方式的差异将其分为对照组和观察组,各 40例。对照组采用鼻内镜手术,观察组采用鼻内镜手术联合低温等离子鼻甲射频消融术。比较两组的治疗效果。结果 观察组的治疗总有效率高于对照组(P<0。05)。术后 1d,观察组的鼻腔容积大于对照组,鼻阻力小于对照组(P<0。05)。术后 1d,观察组的总免疫球蛋白E(TIgE)、嗜酸性粒细胞阳离子蛋白(ECP)水平均低于对照组(P<0。05)。术后3 个月,观察组的糖精清除时间短于对照组,黏液纤毛清除率高于对照组,黏液纤毛清除速度大于对照组(P<0。05)。两组的并发症总发生率无显著差异(P>0。05)。结论 鼻内镜手术联合低温等离子鼻甲射频消融术治疗慢性鼻窦炎的效果显著,可促进术后鼻通气功能及鼻腔黏液纤毛清除功能改善,减轻变态反应,且安全性高,值得推广。
Effect of nasal endoscopic surgery combined with radiofrequency ablation of turbinate with low temperature plasma in the treatment of patients with chronic sinusitis and its influences on nasal ventilation function and allergy after surgery
Objective To investigate the effect of nasal endoscopic surgery combined with radiofrequency ablation of turbinate with low temperature plasma in the treatment of patients with chronic sinusitis.Methods Eighty patients with chronic sinusitis admitted in our hospital from January 2020 to January 2022 were selected as the study objects and divided into control group and observation group according to the differences in surgical methods,with 40 cases in each group.The control group underwent nasal endoscopic surgery,and the observation group underwent nasal endoscopic surgery combined with radiofrequency ablation of turbinate with low temperature plasma.The therapeutic effects of the two groups were compared.Results The total effective rate of treatment in the observation group was higher than that in the control group(P<0.05).At 1 d after surgery,the nasal volume of the observation group was greater than that of the control group,and the nasal resistance was less than that of the control group(P<0.05).At 1 d after surgery,the total immunoglobulin E(TIgE)and eosinophil cationic protein(ECP)levels in the observation group were lower than those in the control group(P<0.05).At 3 months after surgery,the saccharin clearance time of the observation group was shorter than that of the control group,the mucociliary clearance rate was higher than that of the control group,and the mucociliary clearance speed was greater than that of the control group(P<0.05).There was no significant difference in the total incidence of complications between the two groups(P>0.05).Conclusion Nasal endoscopic surgery combined with radiofrequency ablation of turbinate with low temperature plasma has a significant effect in the treatment of chronic sinusitis,it can promote the improvement of postoperative nasal ventilation function and nasal mucociliary clearance function,alleviate allergic reaction,and has high safety,which is worthy of promotion.

nasal endoscopic surgeryradiofrequency ablation of turbinate with low temperature plasmachronic sinusitisnasal ventilation functionallergic reaction

杨晓宇、黄丹

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西安高新医院,陕西 西安,710075

鼻内镜手术 低温等离子鼻甲射频消融术 慢性鼻窦炎 鼻通气功能 变态反应

2024

临床医学研究与实践

临床医学研究与实践

ISSN:
年,卷(期):2024.9(3)
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