鼻内镜下鼻中隔偏曲矫正联合低温等离子射频消融术治疗慢性鼻窦炎伴鼻中隔偏曲的疗效分析

Analysis of the effect of correcting of nasal septum deviation combined with temperature-controlled ablation radio-frequency in the treatment of chronic sinusitis with nasal septum deviation

摘要:

目的 探讨分析鼻内镜下鼻中隔偏曲矫正联合低温等离子射频消融术，治疗慢性鼻窦炎的应用价值。方法 选择2020年6月－2023年6月于该院行鼻内镜下鼻中隔偏曲矫正术治疗的慢性鼻窦炎伴鼻中隔偏曲患者200例，随机分为对照组（联合鼻内镜鼻窦手术）和观察组（联合低温等离子射频消融术），各100例。比较两组患者临床疗效、鼻黏膜功能、嗅觉功能、气道反应性和并发症发生情况。结果 观察组临床疗效明显优于对照组，差异有统计学意义（P < 0.05）；观察组术后糖精清除时间（SCT）较对照组短，黏液纤毛清除速率（MCT）较对照组快，鼻黏液纤毛清除率（MTR）较对照组高，差异均有统计学意义（P < 0.05）；观察组术后嗅觉功能分级优于对照组，差异有统计学意义（P < 0.05）；观察组术后5 Hz时气道阻力（R₅）、20 Hz时气道阻力（R₂₀）和共振频率（Fres）明显低于对照组，差异均有统计学意义（P < 0.05）；两组患者并发症总发生率比较，差异无统计学意义（P > 0.05）。结论 鼻内镜下鼻中隔偏曲矫正联合低温等离子射频消融术，治疗慢性鼻窦炎伴鼻中隔偏曲，较鼻内镜鼻窦手术临床疗效好，可以恢复鼻黏膜功能，改善嗅觉功能，减轻气道反应性，且安全性高，值得临床推广应用。

Abstract:

Objective To explore and analyze the application value of correcting of nasal septum deviation under nasal endoscopy combined with temperature-controlled ablation radio-frequency in treatment of chronic sinusitis.Methods From June 2020 to June 2023, 200 patients with chronic sinusitis and nasal septum deviation who underwent nasal endoscopic sinus surgery were randomly divided into control group (combined with nasal endoscopic sinus surgery) and observation group (combined with temperature-controlled ablation radio-frequency), 100 cases in each group. The efficacy, nasal mucosal function, olfactory function, airway responsiveness and complications were compared between the two groups.Results The observation group has a better therapeutic effect than that in control group, the difference was statistically significant (P < 0.05); After surgery, compared with the control group, the observation group had a shorter saccharin clearance time (SCT), faster mucociliary clearance transport (MCT), higher nasal mucociliary transport rate (MTR), the differences were statistically significant (P < 0.05); After surgery, the observation group had better olfactory function grading than the control group, the difference was statistically significant (P < 0.05); The airway resistance at 5 Hz (R₅), airway resistance at 20 Hz (R₂₀), and resonance frequency (Fres) of the observation group were lower than those of the control group, the differences were statistically significant (P < 0.05); There was no significant difference in complications between the two groups (P > 0.05).Conclusion The combination of endoscopic nasal septum correction and temperature-controlled ablation radio-frequency for the treatment of chronic sinusitis has better clinical efficacy than endoscopic sinus surgery. It has significant advantages in improving nasal mucosal function, olfactory function, and reducing airway responsiveness, and is highly safe. It is worthy of clinical promotion and application.