【摘要】：目的探討鼻內(nèi)鏡下鼻腔翼管、篩前神經(jīng)集區(qū)射頻熱凝治療血管運(yùn)動(dòng)性鼻炎(VMR)對(duì)鼻黏膜纖毛超微結(jié)構(gòu)的影響。方法選取2014年6月至2015年6月在該科進(jìn)行鼻腔翼管、篩前神經(jīng)集區(qū)射頻熱凝治療的VMR患者58例,透射電鏡下觀察患者術(shù)前、術(shù)后6個(gè)月鼻黏膜超微結(jié)構(gòu)。結(jié)果術(shù)后6個(gè)月透射電鏡下顯示鼻黏膜纖毛超微結(jié)構(gòu)較術(shù)前明顯改善:柱狀上皮纖毛排列整齊,無(wú)纖毛脫落、倒伏,長(zhǎng)短基本一致,粗細(xì)較均勻,方向齊同,線粒體形態(tài)數(shù)量恢復(fù),柱狀上皮"9+2"微管結(jié)構(gòu)明顯清晰。結(jié)論鼻內(nèi)鏡下鼻腔翼管、篩前神經(jīng)集區(qū)射頻熱凝治療VMR可使受損鼻黏膜纖毛系統(tǒng)得到改善。
[Abstract]:Objective to investigate the effect of radiofrequency thermocoagulation (RFA) in the treatment of vasomotor rhinitis (VMR) on the ultrastructure of nasal mucosal cilia under nasal endoscope. Methods from June 2014 to June 2015, 58 patients with VMR were treated with radiofrequency thermocoagulation in the anterior ethmoidal nerve collecting area. The ultrastructure of nasal mucosa was observed by transmission electron microscope before operation and 6 months after operation. Results the ultrastructure of nasal mucosal cilia was obviously improved by transmission electron microscope at 6 months after operation. The columnar epithelium cilia were arranged neatly, no cilia were shed, lying down, the length was basically the same, the thickness was uniform, and the direction was the same. The number of mitochondria recovered and the "9 2" microtubule structure of columnar epithelium was clear. Conclusion the nasal mucosal ciliated system can be improved by radiofrequency thermocoagulation in the nasal cavity and anterior ethmoidal nerve area under nasal endoscope for the treatment of VMR.
【作者單位】： 桂林醫(yī)學(xué)院附屬醫(yī)院耳鼻咽喉頭頸外科;
【分類號(hào)】：R765.21

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