摘要
目的 比较鼻前庭囊肿的三种手术方式的临床治疗效果。方法 回顾分析2012年8月至2018年8月成都市第七人民医院83例鼻前庭囊肿病人,根据手术方式分为唇龈沟摘除组(23例)、鼻内镜揭盖组(31例)和等离子消融组(29例),比较三种手术的手术指征及临床疗效。结果 鼻内镜揭盖组和等离子消融组在手术时间[(21.5±2.3)min、(20.5±2.2)min比(45.5±2.6)min]、术中出血量[(13.1±1.3)mL、(12.5±1.4)mL比(39.3±2.5)mL]、伤口愈合时间[(4.0±0.8)d、(3.1±0.7)d比(5.6±0.9)d]、伤口疼痛程度评分[(1.5±0.5)分、(1.4±0.5)分比(2.5±1.0)分]、1个月内麻木肿胀[16.1%(5/31)、6.9%(2/29)比47.8%(11/23)]均优于唇龈沟摘除组(P<0.05);除伤口愈合时间,其他方面等离子消融组与鼻内镜揭盖组差异无统计学意义(P>0.05)。结论 内镜下鼻前庭囊肿揭盖术和消融术手术时间短,痛苦小,术后反应轻,不良反应发生率低,鼻内镜揭盖技术成本不高,可为鼻前庭囊肿的首选治疗方案。
Objective To compare the clinical efficacy of three surgical methods for nasal vestibular cyst.Methods Eighty-three cases of nasal vestibular cyst in Chengdu 7th People’s Hospital from August 2012 to August 2018 were analyzed retrospectively.Patients were assigned into three groups according to surgical methods:the labial gingival sulcus resection group (23 cases),the nasal endoscopic uncovered group (31 cases) and the plasma ablation group (29 cases).The surgical indications and clinical effects of three operations were compared among the three groups.Results The surgical time[(21.5±2.3) min,(20.5±2.2) min vs.(45.5±2.6) min],the surgical blood loss[(13.1±1.3) m L,(12.5±1.4) m L vs.(39.3±2.5) m L],the wound healing time[(4.0±0.8) d,(3.1±0.7) d vs.(5.6±0.9) d],the wound pain degree[(1.5±0.5),(1.4±0.5) vs.(2.5±1.0)],the numbness and swelling rate[16.1%(5/31),6.9%(2/29) vs.47.8%(11/23)]in the nasal endoscopic uncovered group and the plasma ablation group were better than those in the labial gingival sulcus resection group(P<0.05).Except the wound healing time,there were no statistically significant differences between the nasal endoscopic uncovered group and the plasma ablation group (P>0.05).Conclusions The nasal endoscopic uncovered surgery and ablation surgery of nasal vestibular cyst have the advantages of shorter surgical time,less pain,milder postoperative reaction,lower incidence of adverse reactions.The cost of the nasal endoscopic uncovered surgery is cheaper and it can be the first choice for treatment of nasal vestibular cyst.
作者
李文丽
袁洛花
孙丹洋
蒋锐明
刘海兵
LI Wenli;YUAN Luohua;SUN Danyang;JIANG Ruiming;LIU Haibing(Department of Otolaryngology,Sichuan Provincial Maternity and Child Health Care Hospital,Chengdu,Sichuan 610000,China;Department of Otolaryngology,Chengdu 7th People's Hospi-tal,Chengdu,SiChuan 610041,China)
出处
《安徽医药》
CAS
2022年第4期812-814,共3页
Anhui Medical and Pharmaceutical Journal
关键词
鼻前庭囊肿
唇龈沟
鼻内镜
等离子体消融
Nasal vestibular cyst
Labial gingival sulcus
Nasal endoscopy
Plasma ablation
