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題名 | 紅外線凝固器治療慢性肥厚性鼻炎=Infrared Coagulator for Treatment of Chronic Hypertrophic Rhinitis |
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作者 | 許立斌; 郝治華; | 書刊名 | 中華民國耳鼻喉科醫學會雜誌 |
卷期 | 33:2 1998.04[民87.04] |
頁次 | 頁9-14 |
分類號 | 416.853 |
關鍵詞 | 紅外線凝固器; 鼻中膈黏膜下切除術; Infrared coagulator; Submucosal resection of the nasal septum; |
語文 | 中文(Chinese) |
中文摘要 | 背景:為了解紅外線凝固器(infrared coagulator: IRC)對慢性肥厚性鼻炎的治療效 果,以及鼻塞改善的情形。 方法:本科自1996年3月至8月期間,共收集了83名患有慢性肥厚性鼻炎症狀的病人 參與此研究,其中21例合併有鼻中膈彎曲。並將經紅外線凝固器治療慢性肥厚性鼻炎的結 果依鼻塞情形分為完全改善、顯著改善、有改善及沒有改善。 結果:在83例慢性肥厚性鼻炎經紅外線凝固器治療後,有4例(5.0%)完全改善,39 例(46.9%)明顯改善,28例(33.7%)有改善,12例(14.4%)沒有改善。而其中21例慢 性肥厚性鼻炎合併鼻中膈彎曲,經鼻中膈黏膜下切除術及紅外線治療後,15例(71.0%)明 顯改善,6例(29.0%)有改善。其中62例僅有慢性肥厚性鼻炎,經紅外線凝固器治療後的 結果4例(6.0%)完全改善,24例(38.7%)明顯改善,22例(35.4%)有改善,12例(19%) 沒有改善。而另外在83例慢性肥厚性鼻炎術前與術後的主訴症狀調查的改善率為:打噴嚏 16.9%,鼻塞61.4%,流鼻水18.0%,鼻水倒流1.2%。鼻塞的改善有顯著的統計意義(X =64.07, p<0.001)。在接受紅外線凝固器治療前後,左右鼻鼻阻力均有改善,且均有顯著統計學上意 義。 結論:綜合以上研究調查顯示,用紅外線凝固器來治療慢性肥厚性鼻炎是一種簡單、省 時、方便及有效的方法。但對於結構性的鼻塞、打噴嚏和流鼻水,仍配合手術和藥物的治療。 (中耳醫誌1998: 33:107-112。) |
英文摘要 | Background: We wanted to realize the effectiveness and the role of infrared coagulator for the treatment of chronic hypertrophic rhinitis. Methods: 100 cases with chronic hypertrophic rhinitis were collected with infrared coagulator performed from March 1996 to August 1996. We excluded 17 cases because of incomplete data and no regular follow-up. Among the remaining 83 cases, 21 cases had deviated nasal septum. The relief of symptoms and signs were evaluated and divided into four groups. Results: There were 4 cases (5%) completely improved, 39 cases (46.9%) significantly improved, 28 cases (33.7%) little improved and 12 cases (14.4%)without change. For the 21 cases combined with deviated nasal septum, after coagulation, they were retreated by septoplasty, 15 cases (71%) got significantly improved, 6 cases (20%) little improved. Among the remaining 62 cases with chronic hypertrophic rhinitis without deviated nasal septum, 4 cases (6%) completely improved, 24 cases (38.7%) significantly improved, 22 cases (35.4%) little improved and 12 cases (19%) without change. Compared with the nasal resistance between pre-operation and post-operation by rhinomanometry, there was a statistically significant decrease post-operation. Conculsion: To sum up, we made a conclusion that infrared coagulator for treatment of chronic hypertrophic rhinitis was a simple, easy and effective method. For nasal airway abnormality, sneezing, and rhinorrhea, however, operation and medication seemed to be required. |
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