贺丽红

[摘要] 目的 探讨射频治疗慢性肥厚性鼻炎所导致的鼻塞的临床疗效。 方法 选取我院2009年9月～2012年12月诊断为慢性肥厚性鼻炎的患者60例，将其随机分为射频组和硬化组，各30例，射频组为应用射频治疗仪治疗双侧肥大的下鼻甲，硬化组为双侧下鼻甲注射5%鱼肝油酸钠，进行疗效比较。 结果 射频治疗组的痊愈率为70.0%，总有效率为93.3%，硬化组的痊愈率为20.0%，总有效率为50.0%，两组痊愈率、总有效率间均有极显著性差异（P<0.05）。 结论 射频在临床上治疗慢性肥厚性鼻炎疗效显著，值得在临床推广应用。

[关键词] 射频；慢性肥厚性鼻炎；临床疗效

[中图分类号] R765.2 [文献标识码] B [文章编号] 2095-0616（2014）17-211-03

[Abstract] Objective To analyze and discuss the clinical effect of radio frequency in the treatment of nasal congestion caused by chronic hypertrophic rhinitis. Methods 60 patients with chronic hypertrophic rhinitis who were diagnosed in our hospital from September 2009 to December 2012 were selected and randomly allocated to a radio frequency group and a sclerosis group，with 30 patients in each.The radio frequency group received the treatment of bilaterally hypertrophic inferior nasal concha via radio frequency，while the sclerosis group was injected 5% of sodium morrhuate in bilateral inferior nasal concha.The curative effect was then compared. Results The recovery rate in the radio frequency group was 70.0%，and the total effective rate was 93.3%.The recovery rate in the sclerosis group was 20.0%，and the total effective rate was 50.0%.The differences of the two rates between the two groups were statistically significant（P<0.05）. Conclusion Radio frequency in the clinical treatment of chronic hypertrophic rhinitis has a significant curative effect， which is worthy of clinical promotion and application.

[Key words] Radio frequency；Chronic hypertrophic rhinitis；Observation of clinical effect

慢性肥厚性鼻炎是耳鼻喉科常见的多发病，多由慢性单纯性鼻炎发展而来。它是以黏膜、黏膜下层、甚至骨质的局限性或弥漫性增生肥厚为特点的鼻腔慢性炎症[1]。由于下鼻甲黏膜增生肥厚，所以引起的主要症状是鼻塞。鼻塞常使患者鼻的正常通气功能受到影响，生活质量明显下降。传统的内科治疗和外科治疗，并发症较多，临床疗效不一，且各有利弊。2009年9月～2012年12月，我科应用康普牌XVC-II（普及型）（西安万智电子技术有限公司）射频治疗仪给30例慢性肥厚性鼻炎患者治疗，与同期应用5%鱼肝油酸钠行下鼻甲黏膜硬化治疗的30例进行比较，现就其疗效报道如下。

1 资料与方法

1.1 一般资料

选取我院2009年9月～2012年12月诊断为慢性肥厚性鼻炎的患者60例，其中男37例，女23例；年龄15～60岁，平均36.5岁；病程3～25年，平均13.5年。所有患者均以鼻塞为主要症状，呈持续性，轻重不一，双侧发病，经各种保守治疗效果欠佳。前鼻镜检查可见下鼻甲黏膜肥厚，常堵塞整个鼻腔。……