文章摘要

鼻中隔偏曲成形术单用及联合下鼻甲低温等离子消融术对过敏性鼻炎患者预后的影响

作者: 1熊雅红, 2罗利琴
1 四川省林业中心医院耳鼻喉科,成都 610081
2 西部战区空军医院耳鼻喉科,成都 610083
通讯: 熊雅红 Email: jiang_y0000@163.com
DOI: 10.3978/j.issn.2095-6959.2020.07.023
基金: 成都市卫生与计划生育委员会科研课题(2016zw0089)。

摘要

目的:观察鼻中隔偏曲成形术单用及其联合下鼻甲低温等离子消融术治疗过敏性鼻炎对患者预后情况、血清趋化因子(Eotaxin)、细胞间黏附分子1(intercellular cell adhesion molecule-1,ICAM-1)、嗜酸细胞阳离子蛋白(eosinophil cationic protein,ECP)表达的影响。方法:选取四川省林业中心医院96例过敏性鼻炎患者,按照手术方式分为单用组(n=42)与联合组(n=54),单用组采用鼻中隔偏曲成形术,联合组采用鼻中隔偏曲成形术联合下鼻甲低温等离子消融术,比较2组手术指标(术中出血量、手术时间)、手术前后鼻腔阻力与炎症因子[白介素4(interleukin-4,IL-4)、白介素5(interleukin-5,IL-5)]、血清Eotaxin,ICAM-1,ECP表达水平、术后黏膜完整率、并发症情况及术后1年疗效。结果:2组术中出血量与手术时间比较差异无统计学意义(P>0.05);联合组术后鼻腔阻力、IL-4、IL-5水平显著低于单用组(P<0.05);联合组术后Eotaxin,ECP,ICAM-1水平明显低于单用组(P<0.05);2组黏膜完整率、并发症总发生率比较差异无统计学意义(P>0.05);联合组术后1年疗效显著优于单用组(P<0.05)。结论:相较于单用鼻中隔偏曲成形术,其联合下鼻甲低温等离子消融术改善过敏性鼻炎患者鼻腔通气的短期效果更好,可减轻炎症反应,优化Eotaxin,ICAM-1,ECP表达情况。
关键词: 鼻中隔偏曲成形术;下鼻甲低温等离子消融术;过敏性鼻炎;预后

Effect of septoplasty alone and combined with inferior turbinate low-temperature plasma ablation on the prognosis of patients with allergic rhinitis

Authors: 1XIONG Yahong, 2LUO Liqin
1 Department of Otolaryngology, Sichuan Forestry Central Hospital, Chengdu 610081, China
2 Department of Otolaryngology, Air Force Hospital, Western Theater, Chengdu 610083, China

CorrespondingAuthor: XIONG Yahong Email: jiang_y0000@163.com

DOI: 10.3978/j.issn.2095-6959.2020.07.023

Foundation: This work was supported by the Research Project of Chengdu Municipal Health and Family Planning Commission, China (2016zw0089).

Abstract

Objective: To observe the prognosis of patients with allergic rhinitis treated with septoplasty alone and combined with inferior turbinate low-temperature plasma ablation as well as the effect on serum chemokine Eotaxin, intercellular cell adhesion molecule-1 (ICAM-1) and eosinophil cationic protein (ECP). Methods: A total of 96 patients with allergic rhinitis were selected from the hospital and divided into a single group (n=42) and a combined group (n=54) according to the surgical method. The single group were treated with septoplasty and the combined group were treated with septoplasty combined with inferior turbinate low-temperature plasma ablation. The surgical indexes (intraoperative blood loss, surgical time), nasal resistance and inflammatory factors[interleukin 4 (IL-4), interleukin 5 (IL-5)], serum Eotaxin, ICAM-1 and ECP levels before and after surgery, postoperative complete rate of mucosa, complication and curative effect at 1 year after surgery were compared between the 2 groups. Results: There was no significant difference in intraoperative blood loss or surgical time between the 2 groups (P>0.05). After surgery, the nasal resistance, IL-4, IL-5, Eotaxin, ECP and ICAM-1 levels in the combined group were significantly lower than those in the single group (P<0.05). There was no significant difference in the complete rate of mucosa or total incidence of complications between the 2 groups (P>0.05). The curative effect of the combined group was significantly better than that of the single group at 1 year after surgery (P<0.05). Conclusion: Compared with septoplasty alone, septoplasty combined with inferior turbinate low-temperature plasma ablation can achieve better short-term effects in improving nasal airflow in patients with allergic rhinitis, alleviate inflammatory response, and optimize the expression of Eotaxin, ICAM-1 and ECP.
Keywords: septoplasty; inferior turbinate low-temperature plasma ablation; allergic rhinitis; prognosis

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