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目的:探讨鼻内镜下低温等离子射频消融治疗慢性肥厚性鼻炎疗效,并与微波治疗慢性肥厚性鼻炎疗效作比较。方法:90例确诊慢性肥厚性鼻炎患者根据治疗方法不同分为治疗组和对照组各45例,其中治疗组采用鼻内镜下低温等离子射频消融治疗,对照组采用微波治疗,观察其疗效。结果:所有患者术后1年进行疗效判定,两组术后与术前相比,鼻塞症状VAS评分均有明显降低,且术后1年治疗组鼻塞症状VAS评分值明显低于对照组,治疗组术后1年体征改善有效率明显高于对照组,差异均有统计学意义。结论:鼻内镜引导下低温等离子射频消融治疗慢性肥厚性鼻炎视野清楚、操作安全、疗效优于微波治疗,值得临床推广应用。
Objective: To investigate the curative effect of nasal endoscopic radiofrequency ablation with radiofrequency ablation on chronic hypertrophic rhinitis and to compare its curative effect with microwave treatment of chronic hypertrophic rhinitis. Methods: 90 patients with chronic hypertrophic rhinitis diagnosed according to different treatment methods were divided into treatment group and control group of 45 cases, of which the treatment group by endoscopic nasopharyngeal cryogenic plasma radiofrequency ablation, the control group using microwave treatment to observe the effect. Results: All patients were judged one year after operation. Compared with preoperative, the VAS score of nasal obstruction was significantly decreased in both groups, and the VAS score of nasal obstruction in treatment group was significantly lower than that of control group The effective rate of 1-year postoperative improvement of the signs in the group was significantly higher than that in the control group, the differences were statistically significant. Conclusion: Nasal endoscopic guided cryogenic plasma radio frequency ablation of chronic hypertrophic rhinitis clear vision, safe operation, the effect is better than microwave treatment, it is worthy of clinical application.