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目的探讨内窥镜下低温等离子手术治疗系统治疗慢性鼻炎的疗效。方法用Coblation低温等离子手术系统治疗320例慢性鼻炎,其中单纯性鼻炎68例,肥厚性鼻炎252例;在0°或者30°内窥镜下,以中鼻甲及下鼻甲前端游离缘为中心,插入双极一次性探头至肥大的鼻甲黏膜下5mm,分别自鼻甲前、中、后三点或者四个点黏膜下消融,使肥大的下鼻甲组织凝固缩小,颜色变淡,再依次沿下鼻甲游离缘由前向后延续及数个点位。结果显效274例,占86.7%;有效41例占12.97%;无效3例占0.94%,总有效率98.4%。结论该治疗采用鼻内镜下治疗慢性鼻炎,手术视野清,创面少,出血少,操作方便,术后反应轻,愈合好,便于基层医院推广应用。
Objective To investigate the efficacy of endoscopic low temperature plasma surgical treatment of chronic rhinitis. Methods 320 cases of chronic rhinitis were treated with the Coblation low-temperature plasma surgical system, including 68 cases of simple rhinitis and 252 cases of hypertrophic rhinitis. Under the 0 ° or 30 ° endoscope, the middle and inferior turbinate frontal free edges were inserted Bipolar disposable probe to the hypertrophy of the nasal mucosa 5mm, respectively, from the nasal turbinate before, during the three or four submucosal ablation, hypertrophy of inferior turbinate tissue coagulation reduced color fades, followed by the lower turbinate free Reasons for the continuation before and after a few points. The results were markedly effective in 274 cases (86.7%), effective 41 cases (12.97%), ineffective in 3 cases (0.94%) and total effective rate (98.4%). Conclusion The treatment of endoscopic rhinitis for chronic rhinitis, clear surgical field, less wound, less bleeding, easy to operate, postoperative response light, healing, and facilitate the promotion and application of primary hospital.