Radiofrequency ablation of inferior turbinate in the treatment of allergic rhinitis in children
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摘要: 目的 探讨下鼻甲黏膜下射频消融术的安全性和有效性，为儿童变应性鼻炎(AR)的外科治疗提供临床依据。方法 研究纳入2021年1月—2023年12月收治于上海市儿童医院耳鼻咽喉头颈外科并接受双侧下鼻甲黏膜下射频消融术，同时接受腺样体扁桃体射频消融的伴有AR的阻塞性睡眠呼吸暂停低通气综合征的患儿。通过观察指标和统计学方法对疗效进行评估。结果 本研究共纳入病例51例，其中43例进行了半年的随访。下鼻甲黏膜下射频消融术+腺样体扁桃体射频消融术取得了良好的疗效，总有效率为93%。患儿术前术后的症状差异有统计学意义(P<0.05)。无出血、咽鼓管损伤、鼻腔粘连、鼻腔干燥等并发症发生。结论 在严格控制手术适应证的前提下，儿童AR可以采用外科手术进行治疗。其中，下鼻甲黏膜下射频消融术更微创，且具有良好的有效性和安全性，可在临床推广应用。Abstract: Objective To investigate the safety and efficacy of submucous radiofrequency ablation of the inferior turbinate, and to provide a clinical basis for the surgical treatment of allergic rhinitis in children.Methods Patients with obstructive sleep apnea syndrome and allergic rhinitis who were admitted to the Department of Otolaryngology Head and Neck Surgery of Shanghai Children's Hospital from January 2021 to December 2023 and underwent bilateral submucous radiofrequency ablation of the inferior turbinate and radiofrequency ablation of the adenoid tonsil were included in the study. Observational and statistical indexes were used to evaluate the curative effect.Results A total of 51 cases were included in this study, and 43 cases were followed up for half a year. Submucous radiofrequency ablation of the inferior turbinate plus radiofrequency ablation of the adenoid tonsil achieved a good effect (total effective rate 93%), and there was a statistically significant difference in the preoperative and postoperative symptoms of the children(P<0.05). There were no complications such as bleeding, Eustachian tube injury, nasal adhesion, or nasal dryness.Conclusion Under the premise of strict control of surgical indications, children with allergic rhinitis can be treated surgically. Inferior turbinate submucous radiofrequency ablation is more minimally invasive, effective, and safe, and can be used in clinical practice.
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Key words:
- children /
- allergic rhinitis /
- surgical treatment /
- radio frequency ablation /
- inferior turbinate
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表 1 2组术前术后VAS评分比较
X ± S 症状 术前 术后 P 鼻塞 8.41±1.01 2.60±0.73 <0.05 打鼾 7.62±1.23 1.19±1.04 <0.05 口呼吸 6.33±1.12 3.55±1.60 <0.05 
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