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射频消融治疗下鼻甲肥厚所致鼻塞的疗效 被引量:19

Radiofrequency ablation for treatment of nasal obstruction secondary to inferior turbinate hypertrophy
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摘要 目的 :探讨射频消融治疗下鼻甲肥厚所致鼻塞的效果。方法 :对 18例下鼻甲肥大致鼻塞患者采用射频消融术缩小双侧下鼻甲 ,术前及术后 3个月应用视觉模拟评分表 (VAS)来评价鼻塞的主观感觉。结果 :患者术前鼻塞VAS评分左侧为 (6 7.7± 9.4 ) % ,右侧为 (70 .5± 10 .5 ) % ;术后 3个月左侧为 (4 5 .0± 9.0 ) % ,右侧为(5 3.3± 11.6 ) % ,左右侧分别与术前比较 ,差异均有极显著性意义 (均P <0 .0 1)。随访 3个月 ,检查双侧下鼻甲与鼻中隔的最小距离从术前小于 0 .2cm增加到术后大于 0 .3cm。结论 :射频消融术是安全、有效。 Objective:To assess the efficacy of bipolar radiofrequency ablation on inferior turbinate in patients with nasal obstruction caused by inferior turbinate hypertrophy.Method:Eighteen patients enrolled in the study and bipolar radiofrequency ablation was delivered to inferior turbinate. The preoperative and postoperative nasal obstruction were investigated by visual analogue scale (VAS).Result:All patients were improved in 3 months. Mean obstruction(VAS) improved from 70.5%± 10.5% to 53.3%± 11.6%(right side), and from 67.7%± 9.4% to 45.0%± 9.2% (left side).Conclusion:The use of radiofrequency for submucosal tissue ablation in the hypertrophied inferior turbinate is an effective modality for reducing symptoms of nasal obstruction.
出处 《临床耳鼻咽喉科杂志》 CSCD 北大核心 2003年第11期663-664,共2页 Journal of Clinical Otorhinolaryngology
关键词 鼻塞 下鼻甲肥厚 射频消融术 Nasal obstruction Inferior turbinale hypertrophy Radiofrequency ablation
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参考文献3

  • 1Powell N B, Riley R W, Troell R J, et al. Radiofrequency volumetric tissue reduction of the palate in subjects with sleep-disordered breathing. Chest, 1998,113:1163- 1174.
  • 2Back L, Paloheimo M, Ylikoski J, et al. Traditional tonsillectomy compared with bipolar radiofrequency thermal ablation tonsillectomy in adults: a pilot study.Arch Otolaryngol Head Neck Surg, 2001, 127: 1106-1112.
  • 3Davis S, Utley M D, Richard L, et al. Radiofrequency energy tissue ablation for the treatment of nasal obstruction secondary to turbinate hypertrophy. Laryngoscope, 1999,109:683-686.

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