鼻前庭囊肿揭盖术与经唇龈沟鼻前庭囊肿切除术治疗鼻前庭囊肿的疗效对比观察

Comparison of the surgical removal of nasal vestibular cyst and the excision of the nasal vestibular cyst via the sulcus of the lips in treatment of nasal vestibular cyst

目的观察鼻前庭囊肿揭盖术与经唇龈沟鼻前庭囊肿切除术治疗鼻前庭囊肿疗效的差异。方法选取2012-02~2015-01行手术治疗的鼻前庭囊肿患者84例为研究对象,将不同手术方式患者分为A组(鼻前庭囊肿揭盖术,51例)和B组(经唇龈沟鼻前庭囊肿切除术,33例),比较两组患者手术时间、术中出血量、术后疼痛评分、住院时间、感染、面部肿胀和术后6个月内复发率。结果 A组手术时间、术中出血量、术后24 h疼痛评分及住院时间均少于B组。A组患者术后面部肿胀并发症发生率及术后6月复发率低于B组。结论鼻前庭囊肿揭盖术较经唇龈沟鼻前庭囊肿切除术在减少创伤,促进术后愈合及降低并发症发生率和复发率方面前者更优。

Objective To investigate the nasal vestibule marsupialization and labiogingival groove nasal vestibular cyst resection in the treatment of nasal vestibular cyst. Methods 84 patients admitted to our hospital from February 2012 to January 2015 for the surgical treatment of nasal vestibular cyst were collected as the research sub- jects, the patients were divided into group A（n = 51, treated with the nasal vestibule marsupialization） and group B （n = 33, treated with the labiogingival groove of nasal vestibular cyst resection） according to the different operation modes. The operation time, intraoperative bleeding, postoperative pain, hospitalization time and infection, the post- operative facial swelling and the recurrence rate were compared between the two groups 6 months after the operation. Results The operation time, the intraoperative blood loss, the pain scores 24 hours after the operation and the hos- pitalization time in group A were shorter or less than those in group B. The facial swelling and postoperative recur- rence rates of group A were lower than those of group B. Conclusion The nasal vestibule marsupialization can reduce more trauma, complications and recurrence rate, promote more postoperative healing than labiogingival groove of nasal vestibular cyst resection in the treatment of nasal vestibular cyst.