Abstract:ObjectiveTo investigate the clinical effect of unilateral vidian neurectomy on allergic rhinitis (AR) and to analyze the related factors that affecting the clinical effect.MethodsA total of 130 patients with severe AR admitted to the Second Hospital of Shanxi Medical University from January 2013 to January 2017 were selected as the study objects. All patients were treated with unilateral vidian neurectomy under nasal endoscopy, and the relevant data were collected, including age, gender, course of disease, smoking, dust mite allergy, pollen allergy, nasal polyps, asthma, Visual analogue scale(VAS). The clinical therapeutic effect was evaluated 1 year after operation. Meanwhile, the method of Logistic regression was used to analyze the influencing factors of clinical treatment effect.ResultsThe therapeutic efficiency of the 130 patients with AR was the effectiveness 75.38%(98/130), and the ineffectiveness 24.61%(32/130). Logistic regression analysis showed that nasal polyps were the main factors affecting postoperative efficacy (P<0.05).ConclusionsThe unilateral vidian neurectomy for the treatment of AR with better clinical efficacy and safety. However, allergic rhinitis with nasal polyps showed a poor prognosis.
