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目的:比较鼻内镜下低温等离子射频消融和双极电凝治疗慢性肥厚性鼻炎的疗效及并发症。方法:采用等离子射频消融和双极电凝分别治疗40例慢性肥厚性鼻炎患者,术后随访6个月。应用VAS评分分析术前及术后6个月患者鼻塞的主观感觉;并分析术中疼痛、出血和术后鼻腔粘连等并发症。结果:等离子射频消融治疗和双极电凝治疗都有很好的疗效,术后与术前比较,有显著性差异(P<0.05)。等离子射频消融治疗组,并发鼻腔粘连1例,术中疼痛VAS评分为1.43±0.12;双极电凝治疗组,并发鼻腔粘连8例;术中疼痛VAS评分为2.20±0.18,2组间有显著性差异(P<0.05)。结论:低温等离子射频消融和双极电凝都是治疗慢性肥厚性鼻炎的有效方法,前者并发症少。
Objective: To compare the curative effect and complications of chronic hypertrophic rhinitis treated by low temperature plasma radiofrequency ablation and bipolar coagulation under endoscope. Methods: Forty patients with chronic hypertrophic rhinitis were treated with radiofrequency ablation and bipolar coagulation respectively. The patients were followed up for 6 months. The VAS score was used to analyze the subjective feeling of nasal obstruction before and 6 months after operation. The intraoperative pain, bleeding and postoperative nasal adhesions were analyzed. Results: Plasma radio frequency ablation and bipolar electrocoagulation had a good curative effect. There was a significant difference between preoperative and postoperative radiofrequency ablation (P <0.05). Plasma radio frequency ablation group, nasal cavity adhesions in 1 case, intraoperative pain VAS score was 1.43 ± 0.12; bipolar coagulation treatment group, nasal cavity adhesions in 8 cases; intraoperative pain VAS score was 2.20 ± 0.18, between the two groups was significant Sex differences (P <0.05). Conclusion: Low-temperature plasma radiofrequency ablation and bipolar coagulation are both effective methods to treat chronic hypertrophic rhinitis. The former has few complications.