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| 題 名 | 以銣雅克雷射治療慢性肥厚性鼻炎=Nd-YAG Laser Surgery for Chronic Hypertrophic Rhinitis |
|---|---|
| 作 者 | 袁本治; | 書刊名 | 中華民國耳鼻喉科醫學會雜誌 |
| 卷 期 | 33:4 1998.08[民87.08] |
| 頁 次 | 頁48-52 |
| 分類號 | 416.853 |
| 關鍵詞 | 銣雅克雷射; 慢性肥厚性鼻炎; Nd-YAG laser; Chronic hypertrophic rhinitis; |
| 語 文 | 中文(Chinese) |
| 中文摘要 | 背景:在耳鼻喉科門診中,以鼻塞為主訴的患者相當多,而造成鼻塞的原 因中又以肥厚性鼻炎最為常見。其治療不外乎以口服藥物、鼻噴霧劑、下鼻甲手術、電燒灼 等方式。口服藥物治療需長期吃藥,且需忍受藥物的副作用,而手術忠者需住院,術後病人 易流血、疼痛,鼻腔的填塞易造成病人的不適。嘗試找出一種簡單而安全的方式,來治療慢 性肥厚性鼻炎,即為本研究的重點。 方法: 本科自民國 85 年 12 月至民國 86 年 7 月止 共有 58 名診斷為慢性肥厚性鼻炎的病患以 Sharplan 60 銣雅克雷射來治療肥厚的下鼻甲 以改善鼻塞的狀況,全部治療均以臥姿局部麻醉方式在門診手術室進行,平均時間約 20 秒 ,術後門診追蹤檢查至少二次,並以 Meltzer 評分表來測定手術前後症狀改變情形。結果: 術後症狀改善率以鼻塞改善最顯著達 100%,流鼻水改善為 90%, 鼻液倒流改善 79%,平均 症狀改善率約達 90%。結論: 在藥物治慢性肥厚性鼻炎無效,又懼怕接受其它治療時,利用 銣雅克雷射來治療慢性肥厚性鼻炎是另一種新的抉擇。 |
| 英文摘要 | Background: Nasal obstruction is one of the common symptoms in chronic hypertrophic rhinitis (CHR). Oral medicines usually result in undesirable side effects. Pain and nasal packing are often poorly tolerated by patients after traditional turbinectomy. Although CO �� laser has been used to solve the above problems for several years, it still could not satisfy. The purpose of this report is to evaluate Nd-YAG laser for treatment of CHR for reducing side effects. Methods: The Sharplan-60 Nd-YAG laser and 600 μ flat bare fiber were used. The technique of submucosal interstitial photocoagulation of the nasal turbinates was performed under 4% lidocine local anesthesia. Power was on 10W and total exposure time was 20 seconds. Patients were followed up every week at least for a peroid of 2 wks. Pre-and post-operative evaluations were according to the Meltzer estimating talbe. Fifty-eitht CHR patients, age from 18 to 39 year-old (24 y/o in average), were collected between December 1996 to July 1997. Result: Yhrtr ertr minimsl crusting and bleedig post-operatively. The symptoms and signs had been improved about 90%; slight crustings were found in 7 patients (12%) after surgery. Conclusion: It is well tolerated under local anesthesia and can be performed in a very short time in a doctor's office of ambulatory setting. Nasal packing is unnecesary and bleeding is not found after surgery. All the patients are satisfied with the rapid recovery. |
本系統中英文摘要資訊取自各篇刊載內容。