【摘要】 目的 观察鼻内镜下激光治疗变应性鼻炎的疗效。 方法 2005年6月－2008年7月采用鼻内镜下Nd:YAG激光治疗变应性鼻炎患者384例，其中男206例，女178例；年龄13~74岁，平均31岁。病程1~33年，平均7.7年。按照2004年制定的《变应性鼻炎诊治原则及推荐方案》评分均 gt;6分。术前及术后1、6、24个月时分别对患者症状和体征进行评分和分析。 结果 所有患者均获随访，随访时间1~24个月，平均22.7个月。其中术后1、6、24个月分别有384、380和358例患者获随访。统计术前及术后1、6、24个月时症状以及体征评分总分分别为（11.32±1.03）、（3.06±1.17）、（3.32±1.37）、（4.09±2.03）分，术后各时间点评分均较术前显著改善，差异有统计学意义（P lt;0.05）；术后各时间点间差异均有统计学意义（P lt;0.05），其中以术后1个月效果最好。 结论 鼻内镜下激光治疗变应性鼻炎疗效确切，但远期有一定复发率。
【Abstract】 Objective To explore the clinical efficacy of operation by laser under nasal endoscope for the treatment of allergic rhinitis. Methods A total of 384 patients with allergic rhinitis undergoing operation by Nd : YAG laser under nasal endoscope from June 2005 to July 2008 were enrolled in the study, including 208 males and 178 females with their age ranged from 13 to 74 years old averaging at 31.2 years. The course of the disease ranged from 1 to 33 years averaging at 7.7 years. According to The Treatment Principle and Recommending Program for Allergic Rhinitis regulated in 2004, the scores of these cases were all higher than 6. Scoring and analysis of patients’ symptoms and body signs were performed before operation and 1, 6, and 24 months after operation. Results All the patients were followed up with the time period ranged from 1 to 24 months averaging at 22.7 months. A total of 384, 380 and 358 patients were followed up respectively 1, 6, and 24 months after operation. The general score of symptoms and body signs before operation, 1, 6, 24 months after operation were respectively 11.32±1.03, 3.06±1.17, 3.32±1.37, and 4.09±2.03. The scores after operation were significantly better than that before operation (P lt;0.05). The curative effect at the first month was the best. Conclusion Operation by laser under nasal endoscope is one of the valid, feasible methods for the treatment of allergic rhinitis, but during the long-term period, recurrence in some cases is possible.
Citation：
ZHAO Rong,LIU Qiru. Observation of the Curative Effect of Operation on Allergic Rhinitis by Laser Under Nasal Endoscope. West China Medical Journal, 2011, 26(8): 1186-1188. doi:
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- 1. 顾之燕, 董震. 变应性鼻炎的诊治原则和推荐方案(2004年, 兰州)[J]. 中华耳鼻咽喉科杂志, 2005, 40(3): 166-167.
- 2. Casale TB, Dykewicz MS. Clinical implications of the allergic rhinitis-asthma link[J]. Am J Med Sci, 2004, 327(3): 127-138.
- 3. Bousquet J, Khaltaev N, Cruz AA, et al. Allergic Rhinitis and its Impact on Asthma (ARIA)2008 update (in collaboration with the World Health Organization, GA(2) LEN and AllerGen)[J]. Allergy, 2008, 63 (Suppl 86): 8-160.
- 4. 王正敏. 耳鼻喉科学新理论与新技术[M]. 上海: 上海科学技术出版社, 1997: 114-116.
- 5. 左冬至, 耿宛平, 刘强和. 变应性鼻炎治疗的进展[J]. 中国耳鼻咽喉颅底外科杂志, 2010, 16(2): 157-160.
- 6. Calamita Z, Saconato H, Pelá AB, et al. Efficacy of sublingual immunotherapy in asthma: systematic review of randomized-clinical trials using the Cochrane Collaboration method[J].Allergy, 2006, 61(10): 1162-1172.
- 7. Hol MK, Huizing EH. Treatment of inferior turbinatepathololgy: a review and critical evaluation of the different techniques[J]. Rhinology, 2000, 38(4): 157-166.
- 8. 仇荣星, 顾凌澜. 两种激光治疗常年性变应性鼻炎的疗效对比[J]. 中国耳鼻咽喉颅底外科杂志, 2010, 16(1): 63-64.
- 9. 朱菁. 激光医学[M]. 上海: 上海科学技术出版社, 2003: 505.
- 10. 田广永, 刘长秀. 鼻中隔矫正手术中下鼻甲的处理[J]. 中国耳鼻咽喉颅底外科杂志, 2006, 12(5): 52-56.
- 11. 曾强, 杨滨, 卢永德, 等. 鼻内窥镜下Nd-YAG激光治疗常年性鼻炎[J]. 中国耳鼻咽喉颅底外科杂志, 1997, 3(3): 190.
