The Observation of Curative Effect of Three Surgical Methods to Cure Chronic Hypertrophic Rhinitis

doi:10.14033/j.cnki.cfmr.2015.20.001

Abstract：Objective:To discuss the curative effect of three surgical methods about cure chronic hypertrophic rhinitis.Method:90 patients with the clinical diagnosis of chronic hypertrophic rhinitis were randomly divided into three groups. Group A of 30 patients accepted the inferior turbinate boning and mucosa scratches minimally invasive volume reduction surgery.Group B of 30 patients accepted the submucosal hypothermia plasma ablation of the inferior turbinate. Group C of 30 patients accepted the operation of partial inferior turbinectomy. For a comparative analysis,they were observed for 6 months for clinical results and postoperative complications after operation. Then the saccharin test was carried out. The nasal mucociliary function at 3 months after operation and 6 months after operation were compared.Result:The difference of the curative effect of three surgical methods was not statistically significant(P>0.05).The occurrence rate of operative complication of group C was significantly higher than group A and group B(P<0.05).The mucociliary transport rate(MTR) of group A and group B,before the operation and 3 months after operation and 6 months after operation had no obviously changes(P>0.05),but the MTR of group C was obviously slower than pre-operation(P<0.01).Compared to group A and group B respectively,the MTR of group C was slower than 3 months after operation and 6 months after operation(P<0.01). Conclusion:The three surgical methods to cure chronic hypertrophic rhinitis are effective. The inferior turbinate boning and mucosa scratches minimally invasive volume reduction surgery and the submucosal hypothermia plasma ablation of the inferior turbinate have fewer complications,which keeps the function of nasal mucosa and is consistent with clinical physiological function,so they are recommended.The occurrence rate of operative complication is high and the damage to the function of nasal mucosa is great,which is not consistent with the physiological function of nasal cavity,so one should choose carefully.