下鼻甲去骨及黏膜划痕微创减容术治疗肥厚性鼻炎的临床研究

doi:10.16260/j.cnki.1009-2188.2017.01.020

Chinese Journal of Modern Operative Surgery

2017, Vol. 21

Issue (1): 77-80 DOI: 10.16260/j.cnki.1009-2188.2017.01.020

Clinical Research

Clinical Study of the Minimally Invasive Submucosal Reduction of Lower Turbinates and Mucosal Scratches on the Treatment of Hypertrophic Rhinitis

HUANG Yue, LIANG Dongyong, LI Qu, HE Zhongyang

Department of Otolaryngology, Head and Neck Surgery, the First People's Hospital of Nanning, Nanning 530022, Guangxi, China

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Abstract ObjectiveTo study the clinical effect of minimally invasive submucosal reduction of lower turbinates and mucosal scratches on the treatment of hypertrophic rhinitis.Methods120 cases with hypertrophic rhinitis were enrolled in this study. From January 2013 to June 2016, 120 patients with hypertrophic rhinitis were randomly divided into two groups. The experimental group (60 cases) underwent lower turbinate osteotomy and mucosal scratches. The control group (60 cases) underwent partial inferior turbinectomy. The clinical results, complication rates, the saccharin test and nasal mucosal cilia functions were compared 6 months after operation. ResultsThe effective rate was 100% in the experimental group and 98.33% in the control group, and the difference was not statistically significant (P>0.05). The saccharin clearance time(SCT), mucociliary transport rate (MTR) and minimal crosssectional area (MCA) of the experimental group were significantly improved, comparing with the control group (P<0.05). The operative time of the experimental group was longer than the control group(P<0.05). However, the intraoperative hemorrhage, postoperative bleeding time, wound healing time and the complication rate were significantly less in the experimental group(P<0.05).ConclusionIt is effective in improving nasal obstruction and related nasal symptoms of the minimally invasive submucosal reduction of lower turbinates and mucosal scratches. It has the advantages of less complication, quick postoperative recovery and less surgical injury. It is worthy of popularization.

Key words： turbinates, surgery mucosal scratching hypertrophic rhinitis

Received: 09 January 2017 Published: 25 May 2018

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	黄岳，梁冬泳，李趣，何中扬

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黄岳，梁冬泳，李趣，何中扬. Clinical Study of the Minimally Invasive Submucosal Reduction of Lower Turbinates and Mucosal Scratches on the Treatment of Hypertrophic Rhinitis[J]. Chinese Journal of Modern Operative Surgery, 2017, 21(1): 77-80.

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http://www.surgerychina.com/EN/10.16260/j.cnki.1009-2188.2017.01.020 OR http://www.surgerychina.com/EN/Y2017/V21/I1/77

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