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目的比较下鼻甲部分切除术和鼻内镜下电离子凝固加下鼻甲移位术治疗慢性肥厚性鼻炎的效果。方法对174例慢性肥厚性鼻炎致鼻塞患者采用下鼻甲部分切除术和鼻内镜下电离子凝固加下鼻甲移位术的治疗结果。其中下鼻甲部分切除术组84例。电离子凝固加下鼻甲移位治疗组90例。术后随访3～6个月。84例下鼻甲部分切除术中,总有效率87.6%。90例电离子凝固加下鼻甲移位术中,总有效率94.4%。结果二者术后总有效率差别不大。结论电离子凝固加下鼻甲移位术治疗慢性肥厚性鼻炎的优点是手术简单,无切口,操作容易,术后无出血,保持鼻甲功能,缓解鼻通气不畅带来的痛苦。
Objective To compare the effect of partial inferior turbinate surgery and endoscopic vitrectomy plus nasal turbinate transposition on chronic hypertrophic rhinitis. Methods 174 cases of chronic hypertrophic rhinitis caused by nasal congestion were treated with partial resection of the inferior turbinate and endoscopic iontophoresis plus turbinate shift. In which inferior turbinate partial resection group of 84 cases. Electro-coagulation plus inferior turbinate shift treatment group of 90 patients. Follow-up 3 to 6 months after surgery. 84 cases of inferior turbinate partial resection, the total effective rate was 87.6%. 90 cases of ion coagulation plus turbinate shift surgery, the total efficiency of 94.4%. Results The total effective rate after the two little difference. Conclusion The advantages of iontocoagulation combined with turbinate nail transposition in the treatment of chronic hypertrophic rhinitis are simple operation, no incision, easy operation, no postoperative bleeding, maintaining the function of turbinate and alleviating pain caused by poor nasal ventilation.