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目的:观察黏膜下电凝术治疗慢性肥厚性鼻炎所致鼻塞的疗效及对鼻黏膜功能的影响。方法:采用黏膜下电凝术治疗慢性肥厚性鼻炎40例,于术前及术后3、6个月应用视觉模拟评分表(VAS)对鼻腔通气情况评分,医师对下鼻甲进行评分,同时应用糖精试验法测定鼻腔黏膜纤毛输送率(MTR)。结果:术后3、6个月鼻腔VAS评分及下鼻甲评分较术前显著改善(P<0.05);术后3、6个月MTR较术前无显著差异(P>0.05)。结论:黏膜下电凝术是治疗慢性肥厚性鼻炎的简单、有效方法,值得临床推广。
Objective: To observe the therapeutic effect of submucosal electrocoagulation on nasal obstruction caused by chronic hypertrophic rhinitis and its effect on nasal mucosa function. Methods: Forty patients with chronic hypertrophic rhinitis were treated with submucosal electrocoagulation. The visual analogue scale (VAS) was used to evaluate nasal ventilation before and 3 and 6 months after operation. The physician scored the inferior turbinate. At the same time, Saccharin test for nasal mucociliary delivery rate (MTR). Results: The nasal VAS score and inferior turbinate score were significantly improved at 3 and 6 months after operation (P <0.05). There was no significant difference in MTR at 3 and 6 months after operation (P> 0.05). Conclusion: Submucosal electrocoagulation is a simple and effective method for the treatment of chronic hypertrophic rhinitis, which is worthy of clinical promotion.