内镜下经鼻行鼻前庭囊肿完整剥除术的疗效观察

Effect of intranasal excision on nasal vestibular cyst under nasal endoscopy

目的 观察内镜下经鼻行鼻前庭囊肿完整剥除术的临床效果。方法 回顾性分析2011年2月至2016年1月期间，于天津市第三中心医院耳鼻咽喉头颈外科行内镜下经鼻鼻前庭囊肿完整剥除术的42例鼻前庭囊肿患者，观察其治疗效果和并发症情况。结果 42例患者均获治愈，无并发症发生。经鼻内镜下完整剥除率（成功率）为78.6%（33/42），手术时间（26.14±9.33）min，手术出血量（10.26±2.13）ml。随访6个月至5年，中位随访时间19.6个月，均未见囊肿复发和并发症发生。结论 内镜下经鼻行鼻前庭囊肿完整剥除术效果理想，值得临床推广应用。

Objective To observe the clinical effects of intranasal excision on nasal vestibular cyst under nasal endoscopy. Methods Forty-two cases of nasal vestibular cyst diagnosed in the Department of Otorhinolaryngology Head and Neck Surgery, Tianjin Third Central Hospital between Feb. 2011 and Jan. 2016 were treated by intranasal excision under nasal endoscope. Results All the 42 patients were cured without any complication. The rate of complete stripping was 78.6% （33/42） , with operating time of （21.31±4.04） min and bleeding amount of （ 10.26±2.13） ml. During follow-up ranged from 6 months to 5 years, with the median follow-up time being 19.6 months, no post-operative recurrence and complication were found. Conclusion Intranasal excision for nasal vestibular cyst under nasal endoscopy is an effective method, which can be widely used in hospitals.