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目的:比较聚焦超声与低温等离子治疗伴有鼻中隔偏曲的常年变应性鼻炎(PAR)的临床疗效。方法:回顾研究224例伴有鼻中隔偏曲的PAR患者,其中聚焦超声治疗组84例,低温等离子治疗组140例。于治疗后15 d、6个月进行病情随访,用记分法分别评定其疗效,病理学检查了解治疗后黏膜组织改变。结果:术后15 d聚焦超声治疗组治疗有效率为97.1%,低温等离子治疗组为90.4%;术后6个月聚焦超声治疗组有效率为90.7%,低温等离子治疗组为85.4%。病理学检查示:聚焦超声治疗组下鼻甲黏膜有很好的完整性,低温等离子组下鼻甲黏膜基底膜可出现部分断裂及远期瘢痕。结论:聚焦超声治疗组较低温等离子治疗组对过敏性鼻炎疗效更优,尤其对下鼻甲黏膜保护更好。
Objective: To compare the clinical effects of focused ultrasound and low temperature plasma in the treatment of perennial allergic rhinitis (PAR) with nasal septum deviation. Methods: A total of 224 patients with paroxysmal nasal septal deviation were retrospectively studied. Among them, 84 cases were focused ultrasound and 140 cases were treated with low temperature plasma. The patients were followed up for 15 days and 6 months after treatment. The curative effect was assessed by scoring method. Pathological examination was performed to understand the changes of mucosal tissues after treatment. Results: The effective rate was 97.1% in focal ultrasound group and 90.4% in low-temperature plasma group on the 15th day after operation. The effective rate was 90.7% in intensive ultrasound group and 85.4% in low-temperature plasma group at 6 months after operation. Pathological examination showed that the inferior turbinate mucosa of the focused ultrasound group had good integrity. Partial rupture and long-term scar of the inferior turbinate mucosal basement membrane could occur in the low-temperature plasma group. Conclusion: Focal ultrasound therapy group is better than allergic rhinitis plasma therapy group, especially for the protection of the inferior turbinate mucosa better.