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目的:分析三种不同术式治疗慢性肥厚性鼻炎的临床疗效。方法:对206例慢性肥厚性鼻炎患者分别采用低温等离子消融术,改良的传统下鼻甲部分切除术及下鼻甲成形术三种术式,比较其临床疗效。结果:206例患者中8例因术后创面出血而愈合时间延长,2例出现鼻腔干燥结痂,2例因头痛症状不能改善到神经内科治疗,其余患者症状均获显著改善。结论:下鼻甲成形术、下鼻甲等离子消融术能更好地体现微创手术的理念,疗效优于传统下鼻甲部分切除术。
Objective: To analyze the clinical effects of three different surgical procedures in the treatment of chronic hypertrophic rhinitis. Methods: 206 patients with chronic hypertrophic rhinitis were treated with low temperature plasma ablation, modified traditional inferior turbinate partial resection and inferior turbinate angioplasty three kinds of operation, the clinical efficacy. Results: Among the 206 patients, 8 patients were cured due to wound hemorrhage after operation, 2 patients had nasal dry scabs, 2 patients were unable to improve neurological treatment because of headache symptoms, and other patients’ symptoms were significantly improved. Conclusion: The inferior turbinate angioplasty and inferior turbinate plasma ablation can better reflect the concept of minimally invasive surgery, the curative effect is better than the traditional partial inferior turbinate resection.