摘要
目的比较鼻内镜下低温等离子下鼻甲消融术和传统鼻内镜下鼻甲部分切除术的手术效果。方法选择慢性肥厚性鼻炎伴下鼻甲肥大患者67例,分为2组,34例行鼻内镜下低温等离子下鼻甲消融术(等离子组),33例行传统鼻内镜下下鼻甲部分切除术(传统手术组),采用t检验比较两组手术时间、术中出血量、手术依从性和随访患者手术后鼻塞改善情况。结果等离子组比传统手术组手术时长显著缩短,出血量显著减少(均P<0.01),依从性明显升高,两组在术后疼痛程度无明显差异。结论鼻内镜下低温等离子下鼻甲消融术能显著缩短手术时间,减少出血量,缩短手术伤口恢复时间,提高患者依从性,未增加患者术后疼痛,术后疗效满意。
Objective To compare the surgical results of low-temperature plasma inferior turbinate coblation（ITPITC）and traditional partial inferior turbinectomy（TPIT）with nasal endoscope.Methods 67 patients with chronic hypertrophic rhinitis and inferior turbinate hypertrophy were enrolled.34 of them received ITPITC and 33 received TPIT.The surgery time,intraoperative blood loss,surgical compliance,postoperative rhindeisis improvement in follow-up was compared with T-test.Results Compared with TPIT,the surgery time of ITPITC was significantly shortened and the blood loss was significantly reduced（P〈0.01 for both）.The compliance increased significantly.No obvious difference was found between two groups in postoperative degree of pain.Conclusion ITPITC with nasal endoscope can significantly shorten the surgery time,reduce blood loss,shorten the recovery time of surgical wounds and improve patient compliance,without adding postoperative pain to patients.The postoperative curative effect is satisfying.
出处
《中国医学文摘（耳鼻咽喉科学）》
2016年第2期78-80,共3页
Chinese Medical Digest(Otorhinolaryngology)
关键词
鼻内镜手术
低温等离子
下鼻甲消融术
下鼻甲部分切除术
nasal endoscopic surgery
low-temperature plas ma
inferior turbinate coblation
partial inferior turbinectomy
