Clinical effect of three line tension nasal septum surgery combined with low-temperature plasma radiofre-quency ablation in the treatment of moderate and severe perennial allergic rhinitis with nasal septal deviation / 中国基层医药

ABSTRACT

Objective To investigate the clinical effect of three -line anastomosed nasal septum surgery combined with low-temperature plasma radiofrequency ablation in the treatment of patients with moderate -severe perennial allergic rhinitis ( PAR) with nasal septum deviation .Methods 72 patients with moderate -severe PAR with nasal septum deviation were selected as study objects .The patients were divided into two groups according to the random number table method ,with 36 cases in each group .The control group underwent three -line anastomosis and septoplasty .The study group received three -line anastomosed nasal septum surgery combined with low temperature plasma radiofrequency ablation.Before treatment,1 year after treatment,the saccharin clearance time and nasal resistance, symptom score were observed .And the clinical efficacy ,postoperative complications were compared between the two groups .Results Before treatment ,the saccharin clearance time ,nasal resistance and symptom scores between the two groups had no statistically significant differences (all P>0.05).After treatment for 1 year,the saccharin clearance time,nasal resistance and symptom scores of the two groups were all decreased compared with before treatment .The saccharin clearance time and nasal resistance in the study group were (16.03 ±2.72)min and (0.31 ±0.09)kPa· L-1· S-1,respectively,which were lower than those in the control group [(17.15 ±2.85)min,(0.44 ±0.10)kPa·L-1· S-1] (t=2.467,5.798,all P<0.05).The scores of runny nose,sneezing,nasal itching and nasal congestion in the study group were (0.74 ±0.18)points,(1.01 ±0.25)points,(0.62 ±0.13)points and (0.79 ±0.16)points, respectively,which were lower than those in the control group [(1.21 ±0.31)points,(1.33 ±0.43)points,(0.99 ± 0.22)points and (1.18 ±0.34)points] (t=7.867,3.860,8.688,6.227,all P<0.05).Overall,the clinical effect of the study group was significantly better than taht of the control group (Z=-3.181,P<0.05).The total effective rate of the study group was 94.44%,which was significantly higher than 63.89%of the control group (χ2 =10.189, P<0.05).Different degrees of short -term olfactory decline,nasal obstruction were observed in both two groups ,after corresponding treatment ,the symptoms disappeared .No serious complications such as nasal septum perforation ,atrophic rhinitis,and loss of smell occurred in all patients .Conclusion Three -line anastomosed nasal septum surgery combined with low-temperature plasma radiofrequency ablation in the treatment of patients with moderate -severe PAR and nasal septal deviation can effectively correct the abnormal nasal structure ,significantly relieve the symptoms of patients,with high safety and clinical efficacy ,it is worthy of clinical promotion and application .