囊袋法下鼻甲成形术在慢性肥厚性鼻炎中的应用
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1.长沙市中医医院 耳鼻咽喉头颈外科;2.中南大学湘雅医院 耳鼻咽喉头颈外科

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EBV-LMP2A通过激活NF-kB和wnt/beta-catenin通路促进上皮间质转化对人鼻咽癌细胞生物学特性的影响(kq2403159)


Application of the Pocket Technique for Inferior Turbinoplasty in Chronic Hypertrophic Rhinitis
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Department of Otolaryngology Head and Neck Surgery,Hospital of TraditionalChineseMedicine in Changsha,Changsha

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    摘要:

    【】目的:探讨囊袋法下鼻甲成形术在慢性肥厚性鼻炎中的疗效分析及术后并发症分析。方法;选取长沙市中医医院(长沙市第八医院)126例慢性肥厚性鼻炎患者随机分组,65例行鼻内镜下下鼻甲前端入路骨质部分切除联合粘膜切口内等离子消融术(A组),61例行鼻内镜下下鼻甲骨折外移术联合等离子粘膜外射频消融术(B组);比较两组治疗慢性肥厚性鼻炎的疗效。结果:两组组内术前与术后比较,鼻阻力值、鼻内镜评分及VAS评分均显著降低(P<0.05);两组间术前与术后1个月时鼻阻力值、鼻内镜评分及VAS评分比较差异无统计学意义(P>0.05),而术后1年时差异有统计学意义(P<0.05);A组组内比较术后近、远期疗效差异无统计学意义(P>0.05),B组组内比较术后近、远期疗效差异有统计学意义(P<0.05)。A组和B组手术出血量差异无统计学意义(P>0.05),粘膜恢复时间差异有统计学意义(P<0.05)。结论:囊袋法下鼻甲成形术是改善慢性肥厚性鼻炎鼻塞的有效方法,近、远期疗效都比较理想,值得临床推广。

    Abstract:

    【 】 Analysis of the Efficacy and Postoperative Complications of the Pocket Technique Inferior Turbinoplasty in Chronic Hypertrophic Rhinitis. Methods: 126 patients with chronic hypertrophic rhinitis without obvious mucosal hypertrophy were randomly divided into two groups:? 65 patients underwent partial resection of the bone through the anterior inferior turbinate approach under nasal endoscopy combined with plasma ablation through mucosal incision (Group A), and 61 patients underwent external migration of the inferior turbinate fracture under nasal endoscopy combined with plasma radiofrequency ablation outside the mucosa (Group B);The curative effects of the two groups in treating chronic hypertrophic rhinitis were compared. Results: Before and after surgery, the nasal resistance value, nasal endoscopic score, and VAS score were significantly reduced in both groups (P<0.05); There was no statistically significant difference in nasal resistance values, nasal endoscopic scores, and VAS scores between the two groups before and 1 month after surgery (P>0.05), but there was a statistically significant difference at 1 year after surgery (P<0.05); There was no statistically significant difference in the short-term and long-term postoperative efficacy between group A (P>0.05), while there was a statistically significant difference in the short-term and long-term postoperative efficacy between group B (P<0.05). There was no statistically significant difference in surgical bleeding between Group A and Group B (P>0.05), but there was a statistically significant difference in mucosal recovery time (P<0.05). Conclusion: The Pocket Technique inferior turbinoplasty provides effective improvement of nasal obstruction in chronic hypertrophic rhinitis, with satisfactory short-term and long-term efficacy, and is worthy of clinical promotion.

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  • 收稿日期:2025-11-01
  • 最后修改日期:2025-12-27
  • 录用日期:2026-01-05
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