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我科自1981年9月以来用同位素32P贴敷蝶腭神经节治疗神经血管性鼻炎,近期疗效较为满意,现总结分析如下。 材料与方法 将32p吸附在2×0.5cm大小的滤纸上,总剂量为3.7×107Bq(1mCi),外面用薄塑料膜密封。治疗前2％地卡因(加肾上腺素)鼻粘膜麻醉,再将32P敷贴片置于蝶腭神经节处。每次剂量为10Gy(1000r),3次为1个疗程。结果疗效判定标准:(1)显效:自觉症状基本消失或偶有小发作,鼻粘膜肿胀消退,(2)有效:自觉症状减轻,鼻粘膜肿胀减轻;(3)无效:自觉症状无变化或短期改善又复发。 本组47例中男32例、女15例,年龄21～54岁。随访3～12个月,共33例(70％)。显效14例,有效15例,无效4例,有效率88％。 讨 论 习惯上把凡有阵发性喷嚏,清水样鼻涕统称为过敏性鼻炎,现在把除花粉症以外者一律称为常年性鼻炎。包括常年性变态反应性鼻炎,嗜酸细胞增多性非变应鼻炎综合征及植物神经性常年性鼻炎3种。它们的临床表现类似,
Our department since September 1981 with isotope 32P paste sphenopalatine ganglion for the treatment of neurovascular rhinitis, the recent efficacy is more satisfactory, are summarized as follows. Materials and Methods 32p was adsorbed on 2 × 0.5cm filter paper with a total dose of 3.7 × 107Bq (1mCi) and sealed with a thin plastic film. 2% before treatment of tetracaine (adrenaline) nasal mucosa anesthesia, and then 32P placement patch placed in the sphenopalatine ganglion. Each dose of 10Gy (1000r), 3 times for a course of treatment. Results: The efficacy of the criteria: (1) markedly effective: the basic symptoms disappear or occasional minor seizures, nasal mucosal swelling subsided, (2) effective: reduced symptoms, reduce nasal mucosal swelling; (3) invalid: no change in symptoms or short-term Improve and relapse. The group of 47 patients, 32 males and 15 females, aged 21 to 54 years old. All patients were followed up for 3 ~ 12 months, 33 cases (70%). 14 cases were markedly effective, 15 cases were effective, 4 cases were ineffective, and the effective rate was 88%. Discuss the habit of who have paroxysmal sneeze, watery nose, collectively referred to as allergic rhinitis, and now except for hay fever are all perennial rhinitis. Including perennial allergic rhinitis, eosinophilia non-allergic rhinitis syndrome and autonomic perennial rhinitis 3 kinds. Their clinical manifestations are similar,