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目的 :探讨治疗肥厚性鼻炎 (HR) 3种下鼻甲手术的特点 ,提出选择术式的建议。方法 :16 2例HR患者分别行下鼻甲骨黏骨膜下切除术 (A组 )、下鼻甲部分切除术 (B组 )和下鼻甲黏膜下微波热凝术 (C组 )。结果 :3种下鼻甲术式的有效率分别为 :A组 94 .6 %、B组 83.7%、C组 88.9% ,其差异均无显著性意义 (P >0 .0 5 ) ,但各有其特点和适用范围。结论 :下鼻甲骨黏骨膜下切除术适用于下鼻甲骨质增厚为主的HR ;下鼻甲黏膜下微波热凝术首选于下鼻甲黏膜增厚为主的HR ;下鼻甲部分切除术则应慎重选用 ,以保护鼻腔的解剖结构及其生理功能
Objective: To investigate the characteristics of three kinds of inferior turbinate surgery for the treatment of hypertrophic rhinitis (HR) and to propose the choice of surgical procedure. METHODS: Twenty-two patients with HR underwent suborbital mucosal resection (group A), partial inferior turbinate (group B) and sub-inferior turbinate microwave coagulation (group C). Results: The effective rates of three kinds of inferior turbinate surgery were 94.6% in group A, 83.7% in group B and 88.9% in group C, respectively, with no significant difference (P> 0.05) Its characteristics and scope of application. CONCLUSIONS: The inferior turbinate bone submucosa resection is suitable for the HR of the inferior turbinate bone. The inferior turbinate submucosal microwave thermocoagulation is the first choice for the inferior turbinate mucosa thickening HR, the inferior turbinate partial resection should be Carefully selected to protect the anatomy of the nasal cavity and its physiological function