|
|
|
| Clinical effect of nasal endoscopic correction of nasal septal deviation combined with inferior turbinoplasty in the treatment of chronic rhinitis with nasal septal deviation |
| YUAN Linjie LIU Yangjun LI Li |
Department of Otolaryngology, 904th Hospital of Joint Logistics Support Force of the Chinese People’s Liberation Army, Jiangsu Province, Wuxi 214000, China
|
|
|
|
Abstract Objective To explore the clinical effect of nasal endoscopic correction of nasal septal deviation combined with inferior turbinoplasty in the treatment of chronic rhinitis with nasal septal deviation. Methods A total of 120 patients with chronic rhinitis with nasal septal deviation treated by 904th Hospital of Joint Logistics Support Force of the Chinese People’s Liberation Army from May 2020 to May 2022 were selected and divided into the control group (receiving nasal endoscopic correction of nasal septal deviation) and the combined group (receiving nasal endoscopic correction of nasal septal deviation combined with inferior turbinoplasty) by random number table method, with 60 cases in each group. Symptom severity score, olfactory recognition threshold, respiratory resistance at 5 Hz oscillation frequency (R5), R20, and quality of life were compared between the two groups before and one month after surgery, and the occurrence of complications in three months after surgery were compared between the two groups. Results One month after surgery, the scores of nasal itching, nasal congestion, sneezing, nasal discharge, and olfactory recognition threshold, R5, R20 in two groups were lower than those before surgery, and those in the combined group were lower than those in the control group, the differences were statistically significant (P＜0.05). One month after surgery, scores of nasal symptoms, eye symptoms, other symptoms, behavioral problems, sleep disorders, emotional disorders, and limited activity in both groups were lower than those before surgery, and scores of nasal symptoms, eye symptoms, other symptoms, behavioral problems, and sleep disorders in the combined group were lower than those in the control group, the differences were statistically significant (P＜0.05). No nasal septum perforation, cerebrospinal fluid rhinorrhea, abscess or optic nerve injury was found in the two groups three months after surgery. Conclusion Nasal endoscopic correction of nasal septal deviation combined with inferior turbinoplasty is helpful for postoperative recovery of airway function and olfaction of patients, and the surgical safety is high, it is recommended to be widely used in clinic.
|
|
|
|
|
|
[1] 王馨鹿，滕尧树.影响慢性鼻窦炎急性加重的临床因素[J].中华临床免疫和变态反应杂志，2021，15（3）：349-349.
[2] 刘争，曾明.加强国人慢性鼻窦炎内在型研究 推进精准诊疗[J].中华耳鼻咽喉头颈外科杂志，2022，57（2）：99-105.
[3] 史广涛，王梅英，孙慧远.不同方式下鼻甲手术治疗慢性鼻炎的疗效观察[J].中国耳鼻咽喉头颈外科，2021，28（2）：116-117.
[4] 任盼盼，余文发.鼻中隔偏曲与慢性鼻-鼻窦炎、窦口鼻道复合体解剖变异的关系[J].中国医药导报，2020，17（18）： 123-126.
[5] 高波，邹贵龙，黄毅刚，等.鼻内镜手术联合药物治疗变应性鼻炎伴鼻中隔偏曲的中期随访研究[J].医学综述，2020，26（12）：2489-2492，2497.
[6] 郑振宇，丁怡戈，李灏然，等.1910名初中新生慢性鼻-鼻窦炎与鼻中隔偏曲的相关性分析[J].中国临床解剖学杂志，2020，38（3）：348-350.
[7] 王晓忱.鼻中隔偏曲矫正联合双下鼻甲骨折外移手术前后鼻腔气流场数值模型研究[D].大连：大连医科大学，2021，11（2）：134-138.
[8] 田勇泉.耳鼻咽喉头颈外科学[M].北京：人民卫生出版社，2013.
[9] 中华医学会耳鼻咽喉头颈外科学分会鼻科学组.慢性鼻-鼻窦炎诊断和治疗指南（2012年，昆明）[J].中国医刊，2013，48（11）：103-105.
[10] 赵延明，张媛，张罗.慢性鼻窦炎患者和医生症状视觉模拟量表评分的差异性研究[J].临床耳鼻咽喉头颈外科杂志，2015，29（23）：2030-2034.
[11] 罗秋兰.鼻结膜炎生存质量量表中文版本的临床应用及评价[D].广州：广州中医药大学，2008.
[12] 贾慧，孙楷，刘晓雯，等.人体鼻中隔超微结构观察[J].临床耳鼻咽喉头颈外科杂志，2022，36（5）：335-337，342.
[13] 王家玉，曲滨，奚凤，等.鼻部美学在歪鼻畸形伴鼻中隔偏曲患者外形重建及功能修复中的应用效果[J].局解手术学杂志，2020，29（12）：988-991.
[14] 赵延峰，胡源，郭东超，等.鼻中隔偏曲的形态矫正[J].中华整形外科杂志，2020，36（6）：617-622.
[15] 郑振宇，丁怡戈，李灏然，等.高中新生鼻中隔偏曲和慢性鼻-鼻窦炎相关性分析[J].中国学校卫生，2019，40（12）：112-116.
[16] 徐建慧，李欣，寸晶晶，等.加速康复外科在鼻中隔偏曲矫正术围手术期的应用效果[J].山东大学耳鼻喉眼学报，2021，35（1）：154-158.
[17] 胡喜，邓安春，王昶，等.鼻内镜下改良鼻中隔矫正术治疗创伤性C型歪鼻合并鼻中隔偏曲的疗效评估[J].中国内镜杂志，2020，26（5）：68-73.
[18] 张旻，刘永亮，宋道亮，等.鼻内镜下改良下鼻甲成形术与下鼻甲低温等离子消融加骨折外移术治疗重度慢性肥厚性鼻炎的临床对比研究[J].山东大学耳鼻喉眼学报，2021，35（6）：83-88.
[19] 邵长宝，李晓丽，马琳娟.鼻后神经下鼻甲支切断术联合玉屏风颗粒治疗慢性鼻-鼻窦炎伴有鼻息肉合并哮喘的疗效分析[J].中国内镜杂志，2020，26（7）：68-71.
[20] 熊雅红，罗利琴.鼻中隔偏曲成形术单用及联合下鼻甲低温等离子消融术对过敏性鼻炎患者预后的影响[J].临床与病理杂志，2020，40（7）：1771-1777.
[21] 郑金山.鼻内镜下骨折下鼻甲、鼻中隔偏曲矫正联合低温等离子射频治疗下鼻道血管瘤[J].浙江医学，2021， 43（24）：2690-2692.
[22] 李进宪.鼻内镜下鼻中隔黏膜下切除术联合等离子下鼻甲消融治疗鼻中隔偏曲变应性鼻炎研究[J].中国药物与临床，2019，19（18）：3135-3138.
[23] 张中宝，王琴，袁勇，等.不同手术方法治疗变应性鼻炎合并鼻中隔偏曲的效果比较[J].海南医学，2019，30（3）：320-322.
[24] 王亚林，汪银凤.鼻中隔偏曲对变应性鼻炎患者皮下免疫治疗的影响[J].安徽医学，2019，40（8）：885-888.
[25] 周莉，李雯，顾怀宇.鼻中隔偏曲成形术联合低温等离子消融术治疗对AR患者T淋巴细胞亚群血清IL-5及OPN水平的影响[J].河北医学，2021，27（9）：1557-1562.
[26] 郑家坤，蔡克万，王政林，等.鼻内镜下鼻甲黏膜下部分切除术联合鼻中隔矫正术改善变应性鼻炎伴鼻中隔偏曲患者的嗅觉功能[J].临床与病理杂志，2022，42（3）：662-667. |
|
|
|
