手术治疗变应性鼻炎的研究进展
Research Progress of Surgical Treatment of Allergic Rhinitis
摘要: 变应性鼻炎是耳鼻咽喉科在临床中最常见的疾病,临床表现为鼻痒、喷嚏、鼻分泌亢进、鼻黏膜肿胀等。由于致敏源复杂,普通人群的患病率逐年增加,部分病人可能还会出现严重哮喘的并发症。关于变应性鼻炎的治疗,主要是采用药物治疗,但其远期疗效差强人意,需长期服用。因此,手术治疗变应性鼻炎成为重要的辅助手段。本文就手术治疗变应性鼻炎的研究进展及疗效进行综述。
Abstract: Allergic rhinitis is the most common disease in the department of otolaryngology. Its clinical mani-festations include nasal itching, choking, hypersecretion and nasal mucosa swelling. Due to the complex source of sensitization, the prevalence of the general population is increasing year by year, and some patients may also have severe asthma complications. The treatment of allergic rhinitis is mainly drug therapy, but its long-term effect is unsatisfactory, it needs to take long-term medicine. Therefore, surgical treatment of allergic rhinitis has become an important auxiliary means. This ar-ticle reviews the research progress and efficacy of surgical treatment of allergic rhinitis.
文章引用:马娜, 柳林整. 手术治疗变应性鼻炎的研究进展[J]. 临床医学进展, 2022, 12(11): 10225-10228. https://doi.org/10.12677/ACM.2022.12111474

参考文献

[1] 顾瑜蓉, 李华斌. 《中国变应性鼻炎诊断和治疗指南(2022年, 修订版)》解读[J]. 中国眼耳鼻喉科杂志, 2022, 22(2): 209-211. issn.1671-2420.2022.02.023 [Google Scholar] [CrossRef
[2] Wang, X.D., Zheng, M., Lou, H.F., et al. (2016) An Increased Prevalence of Self-Reported Allergic Rhinitis in Major Chinese Cities from 2005 to 2011. Al-lergy, 71, 1170-1180. [Google Scholar] [CrossRef] [PubMed]
[3] 章如新. 变应性鼻炎的外科治疗[J]. 临床耳鼻咽喉头颈外科杂志, 2020, 34(1): 1-4.
[4] 何平, 金晓杰, 赵辉. 低温等离子翼管神经高选择性分支切断术对变应性鼻炎患者鼻黏膜细胞中血管活性肠肽水平的影响[J]. 临床耳鼻咽喉头颈外科杂志, 2018, 32(3): 167-170.
[5] 谭凤武, 黎可华, 邓亚萍, 谭国林. 鼻内镜下翼管神经切断术治疗中重度变应性鼻炎疗效及安全性的meta分析[J]. 中国耳鼻咽喉头颈外科, 2020, 27(6): 351-356.
[6] 王艳杰, 安云芳, 赵长青, 等. 鼻内镜下单侧翼管神经切断术对变应性鼻炎合并哮喘的疗效观察[J]. 中国耳鼻咽喉颅底外科杂志, 2020, 26(2): 171-175.
[7] 许庆庆, 段甦, 王向东, 张罗. 鼻中隔偏曲矫正对变应性鼻炎患者治疗效果的Meta分析[J]. 首都医科大学学报, 2018, 39(6): 928-932.
[8] 孙树岩, 尹居中, 董震, 卜国铉. 鼻粘膜副交感神经的来源及其临床意义[J]. 中国临床解剖学杂志, 1991(4): 221-223+255. [Google Scholar] [CrossRef
[9] 李华斌, 许庚. 翼腭窝的应用解剖学[J]. 国外医学. 耳鼻咽喉科学分册, 2000(2): 66-68.
[10] 梁恒伟. 鼻内镜下低温等离子消融筛前神经治疗变应性鼻炎的临床研究[J]. 中国医学创新, 2017, 14(10): 46-49.
[11] 马东, 关林, 王德华. 鼻内镜下筛前神经鼻腔分支低温等离子消融阻断术治疗变应性鼻炎的疗效观察[J]. 宁夏医学杂志, 2017, 39(8): 847-849. [Google Scholar] [CrossRef
[12] Su, W.-F., Liu, S.-C., Chiu, F.-S. and Lee, C.-H.. (2011) Antegrade Transsphenoidal Vidian Neurectomy: Short-Term Surgical Outcome Analysis. American Journal of Rhinology & Allergy, 25, e217-e220. [Google Scholar] [CrossRef] [PubMed]
[13] 周志锋, 王铁锋. 翼管神经切断术对伴有中重度AR慢性鼻窦炎的临床疗效[J]. 浙江创伤外科, 2020, 25(6): 1095-1097.
[14] Ai, J., Xie, Z., Qing, X., et al. (2018) Clinical Effect of Endoscopic Vidian Neurectomy onBronchial Asthma Outcomes in Patients with Coexisting Refractory Allergic Rhini-tis and Asthma. American Journal of Rhinology & Allergy, 32, 139-146. [Google Scholar] [CrossRef] [PubMed]
[15] 肖志超. 鼻内镜下低温等离子翼管神经切断术治疗变应性鼻炎的疗效评估[J]. 医学理论与实践, 2021, 34(13): 2280-2282. issn.1001-7585.2021.13.046 [Google Scholar] [CrossRef
[16] 史广涛, 王梅英, 孙慧远. 不同方式下鼻甲手术治疗慢性鼻炎的疗效观察[J]. 中国耳鼻咽喉头颈外科, 2021, 28(2): 116-117. 2021.02.013 [Google Scholar] [CrossRef
[17] Kawa-mura, S., Fukutake, T., Kubo, N., Yamashita, T. and Kumazawa, T. (2009) Subjective Results of Laser Surgery for Al-lergic Rhinitis. Acta Oto-Laryngologica, 113, 109-112. [Google Scholar] [CrossRef] [PubMed]
[18] 陈少华, 苏志文, 叶耀平. 筛前神经切断加下鼻甲电烙术治疗变应性鼻炎325例[J]. 广东医学, 1996(7): 449-450. gdyx.1996. 07.065 [Google Scholar] [CrossRef
[19] 李峰, 权芳, 龚继涛. 高选择性翼管神经分支切断术加筛前神经阻断术对难治性变应性鼻炎患者临床疗效及其影响因素研究[J]. 贵州医药, 2022, 46(5): 741-743.
[20] 王月芹. 翼管神经切断联合下鼻甲部分切除术治疗变应性鼻炎临床分析[J]. 医学信息, 2014(28): 49-49. [Google Scholar] [CrossRef