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目的 :评价中下甲部分切除术治疗血管运动性鼻炎 (VR)的临床效果。方法 :将 1 2 6例VR患者随机分成 3组 ,每组 42例 ,A组行双侧中下甲黏膜激光烧灼 ;B组行筛前神经和翼管神经电灼术 ;C组行中下甲部分切除术。合并鼻中隔偏曲者同时行鼻中隔黏膜下切除术。术后 1个月、半年、1年和 5年各随访 1次 ,比较 3组术后症状 ,术后并发症和复发率。结果 :3组患者术后症状均消失。但随着随访时间的延长 ,均有部分病例复发。术后 1～ 6个月复发者以A、B两组较多 ,差异无显著性 ,术后 1～ 5年 ,A、B两组复发率达 80 %～ 90 % ,复发后的症状评分与术前相同。而C组术后近期复发率低(术后 6个月为 4 76% ) ,5年后随访复发率为 2 6 1 9% ,复发者症状评分 (5 .1 8± 1 .0 7)明显低于手术前 (8.46± 1 .3 8)。结论 :中下甲部分切除术治疗VR效果好 ,复发率低 ,并发症少 ,且手术操作简单 ,是目前治疗VR的最佳手术方案。
OBJECTIVE: To evaluate the clinical effect of partial mesiohyperplasia in the treatment of vasomotor rhinitis (VR). Methods: One hundred and sixty-six patients with VR were randomly divided into three groups, 42 cases in each group. A group received bilateral middle and inferior mucosal laser ablation. Group B received pre-ethmoidal nerve and pterygoid nerve cautery. A partial excision. Nasal septum deviation at the same time subtotal nasal septum resection. The patients were followed up 1 month, 6 months, 1 year and 5 years after operation. The postoperative symptoms, postoperative complications and recurrence were compared among the 3 groups. Results: The symptoms of the three groups disappeared after operation. However, with the extension of follow-up time, there are some cases of recurrence. The recurrence rate of patients in group A and group B was 80% ~ 90% at 1 to 5 years after operation, and the recurrence rate was The same preoperative. However, the recurrence rate was significantly lower in group C (4 76% at 6 months after operation), and the recurrence rate after 5 years was 2 6 1 9%. The recurrence symptom score was significantly (5.18 ± 1 .0 7) Lower than before surgery (8.46 ± 1.38). Conclusion: Partial middle and lower arm partial resection of VR treatment is good, low recurrence rate, fewer complications, and simple operation, is currently the best surgical treatment of VR program.