两种不同术式治疗鼻前庭囊肿的疗效对比分析

The Efficacy Comparison of Two Surgical Treatment of Nasal Vestibular Cyst

目的:对比分析鼻内窥镜下手术与自唇龈沟切开剥离术治疗鼻前庭囊肿的临床疗效。方法:治疗组(n=36)采用鼻内窥镜下经鼻前庭径路切除囊肿,对照组(n=42)采用传统的自唇龈沟鼻前庭囊肿摘除术;对比两组的手术情况及术后情况。结果:对比两组手术患者的平均手术时间(min)、平均出血量(ml)、伤口平均愈合时间(d)、面部肿胀程度、术后伤口疼痛情况、术后半年面部麻木酸胀感,治疗组均明显优于对照组(P<0.05);两组患者均随访6-24个月,均无复发。结论:鼻内窥镜下手术治疗鼻前庭囊肿,具有创伤小、手术时间短、患者痛苦小、术后恢复快、无复发的优点。

Objective： To compare the clinical efficacy of nasal endoscopic surgical and sulcular incision from the lip in treating nasal vestibular cyst. Methods： The treatment group （n=36） undergo functional endoscopic sinus surgery. The control group （n=42） took sulcular incision from the lip to remove the nasal vestibular cyst. Then clinical effects were measured. Results： The average operative time, blood loss, wound healing time, facial swelling and pain degree, facial soreness after 6 months of the treatment group were much better than the control group （P〈0.05）. All patients were followed up for 6 to 24 months, no recurrence happened. Conclusion： With advantages such as fewer traumas, shorter operative time, less pain, better recovery and no recurrence, the endoscopic sinus surgery is an effective simple operation to treat nasal vestibular cyst.