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目的探讨射频消融治疗慢性肥厚性鼻炎下鼻甲肥厚所致鼻塞的疗效。方法回顾性分析我院收治的76例慢性肥厚性鼻炎患者行鼻内镜下射频消融治疗的临床资料。结果在鼻内窥镜下对76例慢性肥厚性鼻炎鼻塞患者采用低温等离子射频消融治疗,术前及术后6个月应用视觉模拟评分表(VAS)来评价鼻塞的主观感觉。患者术前鼻塞VAS评分左侧为9.62±0.58,右侧为8.97±0.68,术后6个月左侧为3.67±0.81,右侧为4.53±0.31。所有患者除术后短期内鼻塞、涕稍多外无其它不适,鼻内镜检查见所有患者下鼻甲表面红润、光滑、未见瘢痕。结论低温等离子射频消融是治疗慢性肥厚性鼻炎的有效方法,其安全可靠、微创、术后恢复快、对鼻腔正常生理功能损伤小。
Objective To investigate the curative effect of radiofrequency ablation on nasal obstruction caused by hypertrophy of turbinate under chronic hypertrophic rhinitis. Methods The clinical data of 76 patients with chronic hypertrophic rhinitis underwent endoscopic sinus radiofrequency ablation were retrospectively analyzed. Results Under nasal endoscopy, 76 patients with chronic hypertrophic rhinitis and nasal obstruction were treated with radiofrequency ablation by radiofrequency ablation. The subjective sensation of nasal obstruction was assessed by visual analogue scale (VAS) before and 6 months after operation. The preoperative nasal obstruction VAS score was 9.62 ± 0.58 on the left and 8.97 ± 0.68 on the right, with a mean of 3.67 ± 0.81 at 6 months and 4.53 ± 0.31 at the right. All patients had nasal obstruction shortly after operation and no other discomfort with little to no discharge. Nasal endoscopy showed rosacea on all the patients under the inferior turbinate surface, which was smooth and without scarring. Conclusion Low-temperature plasma radiofrequency ablation is an effective method for the treatment of chronic hypertrophic rhinitis. It is safe, reliable and minimally invasive. It has rapid postoperative recovery and little damage to the normal physiological function of the nasal cavity.