KTP雷射手術治療肥厚性下鼻甲

Potassium-Titanyl-Phosphate Laser Surgery as a Treatment for Hypertrophic Inferior Turbinates

陳泰岳(Tai-Yuen Chen) ； 黃弘孟(Hung-Meng Huang)

《北市醫學雜誌》 7卷2期 (2010/06) Pp. 119-124

https://doi.org/10.6200/TCMJ.2010.7.2.02

摘要

目的：肥厚性下鼻甲經常造成鼻塞的症狀，針對肥厚性下鼻甲衍生的鼻塞問題其實有很多種治療處理的方式，KTP雷射手術是其中的一種方式，本篇研究的目的在於評估KTP雷射手術是不是一種安全有效且可行的治療處理的方式。方法：自2009年2月至2009年8月間，針對117名長期因肥厚性下鼻甲而造成鼻塞的病人，給與安排KTP雷射手術治療，每位病人至少追蹤6個月以上。結果：術後半年有78.6%(92/117)認為鼻塞較術前有顯著改善。術後九個月有69%(29/42)認為鼻塞較術前有顯著改善。術後一年有62.5%(5/8)認為鼻塞較術前有顯著改善。關於手術的併發症方面，本研究病人皆無術中出血象，術後出血2位，沾黏2位，持續結痂形成5位，惡臭味3位，術後疼痛2位，病人皆未有萎縮性鼻炎現象。結論：病人接受KTP雷射手術治療以後的半年內有不錯的鼻塞緩解效果，就短中期的時間而言，KTP雷射手術確實是一種安全有效且可行的治療處理的方式，惟就長期的時間而言，可能會因鼻甲自然再度增生而使療效降低。

關鍵字

肥厚性下鼻甲 ； KTP雷射手術

並列摘要

Objectives: The aim of this research was to evaluate whether KTP Laser Surgery was an effective, safe, and practical therapy for patients who suffered from nasal obstruction caused by hyper trophic inferior turbinate. Methods: KTP Laser Surgery was conducted on 117 patients who were suffering from nasal obstruction caused by chronic hypertrophic inferior turbinate; the treatments were carried out between February and August 2009. At least 6-month medical follow-up was given to each patient who participated in this research. Results: The nasal obstruction symptoms of the patients were found to have improved at 6 months after receiving KTP Laser Surgery. Conclusions: This research suggests that KTP Laser Surgery is an effective, safe, and practical therapy in the short term. However, it is yet to be established where this type of surgery is able to alleviate obstruction due to the turbinate hypertrophy in the long term.

並列關鍵字

hypertrophic inferior turbinate ； KTP Laser Surgery