鼻内镜下鼻后神经切断术治疗中重度持续性变应性鼻炎的疗效观察

黄宾; 李鹏; 孟庆翔; 何龙; 高雄辉; 谢景华

doi:10.13201/j.issn.1001-1781.2017.19.009

鼻内镜下鼻后神经切断术治疗中重度持续性变应性鼻炎的疗效观察

- 广州医科大学附属广州市第一人民医院耳鼻咽喉科(广州, 510180)

详细信息

通讯作者: 谢景华, E-mail:jhxie@139.com

中图分类号: R765.21

收稿日期: 2017-06-12

A study of the curative effect of endoscopic-assisted posterior nasal neurotomy on patients with moderate-severe persistent allergic rhinitis

- Department of Otorhinolaryngology, Guangzhou First People's Hospital, Guangzhou Medical University, 510180, China

More Information

Corresponding author: XIE Jinghua, E-mail: jhxie@139.com

Received Date: 12 June 2017

摘要

摘要: 目的: 探讨鼻内镜下鼻后神经切断术治疗中重度持续性变应性鼻炎(AR)的方法及疗效。方法: 对32例药物治疗及脱敏治疗效果欠佳的中重度持续性AR患者行鼻内镜下鼻后神经切断术,根据常年性AR的诊断及疗效评定标准,通过计分法评定其疗效。结果: 术后1年进行随访评价,其中显效17例(53.1%),有效15例(46.9%),总有效率100%。无出血、眼干等并发症。结论: 鼻内镜下鼻后神经切断术治疗中重度持续性AR,具有鼻后神经定位清楚、操作方便、短期疗效显著、并发症少等优点,对药物及特异性免疫治疗失败者更值得应用。
- 内镜外科手术 /
- 鼻后神经切断术 /
- 鼻炎 /
- 变应性
Abstract: Objective: To investigate the feasibility and effect of endoscopic-assisted posterior nasal neurotomy on patients with moderate-severe persistent allergic rhinitis (AR).Method: Endoscopic-assisted posterior nasal neurotomy were operated on 32 moderate-severe persistent AR patients who were insensitive to drugs and desensitization treatment, and curative effect were evaluated by scoring according to the diagnosis and curative effect evaluation standard of AR.Result: Follow-up evaluations were perfected after one year. Among them 17 cases were markedly effective, 15 cases were effective, and the rate of total effective was 100%, without complications such as nose bleeds, dry eye, etc.Conclusion: The advantages of endoscopic-assisted posterior nasal neurotomy on moderate-severe persistent allergic rhinitis patients include the localization of posterior nasal nerve is clear, easy to operate, the short-term effect is remarkable, and less complications, therefore it's worth using on the AR patients who are failing in drugs and specific immune treatment.
- endoscopic surgical procedures /
- posterior nasal neurotomy /
- rhinitis /
- allergic

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