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目的:观察电动微型切割器行下鼻甲部分切除的疗效。方法:将慢性肥厚性鼻炎90例,随机分为对照组47例,行传统下鼻甲部分切除术;观察组43例,应用电动微型切割器行下鼻甲部分切除术。分别应用视觉模拟评分法(VAS)对术前及术后3、6个月鼻塞症状进行评分;应用糖精实验测定患者术前及术后3、6个月的鼻黏膜纤毛输送率(MTR)。结果:两组术后3、6个月的VAS评分与术前比较,差异非常显著(P<0.01);两组鼻黏膜纤毛MTR比较,差异显著(P>0.01);对照组术后3、6个月鼻黏膜纤毛MTR与术前比较下降明显,差异非常显著(P<0.01)。结论:应用电动微型切割器行下鼻甲部分切除术,是治疗慢性肥厚性鼻炎的一种较好方法。
Objective: To observe the curative effect of partial removal of inferior turbinate by electric microtome. Methods: Ninety patients with chronic hypertrophic rhinitis were randomly divided into control group (n = 47) and conventional inferior turbinate resection (n = 43). The observation group (n = 43) was treated with electric microtome. The visual analogue scale (VAS) was used to evaluate the symptoms of nasal obstruction before and 3,6 months postoperatively respectively. Nasal mucocutaneous delivery rate (MTR) was measured before and 3,6 months after operation by saccharin test. Results: There was significant difference in VAS scores between the two groups at 3 and 6 months postoperatively (P <0.01). The MTR of nasal mucosa of the two groups was significantly different (P> 0.01) MTR of 6 months nasal mucociliary decreased significantly compared with preoperative, the difference was significant (P <0.01). CONCLUSIONS: The use of a motorized mini-cutter in the partial removal of the inferior turbinate is a good way to treat chronic hypertrophic rhinitis.