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目的:比较下鼻甲部分切除术与微波热凝术治疗慢性肥厚性鼻炎的疗效及术后反应情况。方法:对1996年8月至2003年12月对慢性肥厚性鼻炎患者行下鼻甲部分切除术143例及下鼻甲微波热凝术236例进行总结,比较手术操作、术后反应及疗效。结果:两种治疗方法总有效率差异有统计学意义(P<0.05),微波热凝术组下鼻甲肿胀、鼻塞持续时间及伪膜消失时间均较下鼻甲部分切除手术组长(P<0.05),术后疼痛及血涕持续时间较下鼻甲部分切除手术组短(P<0.05)。结论:下鼻甲部分切除术治疗慢性肥厚性鼻炎疗效肯定,对下鼻甲骨肥厚以及合并的鼻中隔偏曲可同时处理,下鼻甲微波热凝术治疗慢性肥厚性鼻炎操作简单、疼痛轻、出血少,但鼻甲肿胀及愈合时间较长,不能同时处理骨性病变。
Objective: To compare the curative effect and postoperative reaction of inferior turbinate partial resection and microwave thermocoagulation in the treatment of chronic hypertrophic rhinitis. Methods: From August 1996 to December 2003, 143 cases of patients with chronic hypertrophic rhinitis underwent partial capsulotomy and 236 cases of inferior turbinate microwave thermocoagulation were summarized. Surgical operation, postoperative response and curative effect were compared. Results: The total effective rate of the two treatments was statistically significant (P <0.05). The inferior turbinate swelling, the duration of nasal obstruction and the disappearance of the pseudomembranous membrane in the microwave thermocoagulation group were significantly shorter than those in the lower turbinate partial resection group (P <0.05) ), Duration of postoperative pain and the duration of blood-lead were shorter than that of the lower-partotomy group (P <0.05). Conclusion: Partial inferior turbinate resection is effective in treating chronic hypertrophic rhinitis. It can treat inferior turbinate hypertrophy and nasal septum deviation at the same time. The inferior turbinate microwave thermocoagulation treatment of chronic hypertrophic rhinitis has simple operation, less pain, less bleeding, However, nasal swelling and healing time longer, can not be treated at the same time bone lesions.