摘要
目的 探讨低温等离子治疗鼻内镜术后鼻腔粘连的临床疗效。方法 选取本院2014年6月-2015年6月鼻内镜术后鼻腔粘连患者共68例,按照不同的手术方法将其分成对照组和观察组各34例,予以行鼻腔粘连分离术。对照组采用剪切后双极电凝法,观察组采用低温等离子法。比较两组患者术中出血量、手术时间及术后鼻腔粘连复发情况。结果 对照组术中出血量2.77±0.94 m L显著高于观察组出血量0.72±0.32 m L（t=12.005,P=0.000）。对照组手术时间6.56±1.29 min显著高于观察组手术时间5.82±0.82 min（t=2.801,P=0.007）。对照组复发率23.5%显著高于观察组复发率5.9%（χ^2=4.221 P=0.040）。结论 低温等离子治疗鼻内镜术后鼻腔粘连疗效显著,具有手术出血少、治疗时间短、复发率低的特点。操作简单、安全可靠,值得推广。
Objective To evaluate the clinical effect of low-temperature radiofrequency in the treatment of nasal adhesion after endoscopic sinus surgery. Methods A total of 68 cases of nasal adhesion were included in this study from June 2014 to June 2015 and randomized into observation group and control group ,and the nasal adhesions were separated.For the control group, 34 patients were treated by bipolar electrocoagulation after separation,and 34 patients in the control group were treated by low- temperature radiofrequency.The operating time,blood loss during operation and the recurrence were observed. Results The blood loss during operation were 2.77±0.94 mL and 0.72±0.32 mL in the contrinol group and observation group,and there was sta- tistically significant difference between the two groups（t= 12.005,P=0.000）.The operating time were 6.07±1.07 min and 5.75±0. 87 min in the two group,and there was statistically significant difference between the two groups（t =2.801,P=0.007）.The efficacy were 23.5% and 5.9% in the control group and observation group,and the effective rate had significant difference between the two groups （χ^2 =4.221 ,P= 0.040）. Conclusions Low-temperature radiofrequency in treatment of nasal adhesion had effective,safe and simple operation significance,with less intraoperative blood loss and short operation time and low relapse rate.It can be used as an effective means of minimally invasive operation and is worth of being generalized.
出处
《中南医学科学杂志》
CAS
2016年第3期303-305,共3页
Medical Science Journal of Central South China
关键词
低温等离子
鼻内镜术后
鼻腔粘连
临床疗效
low-temperature radiofrequency
Endoscopic sinus surgery
nasal adhesion
clinical effect
