鼻内镜下揭盖法切除鼻前庭囊肿的疗效研究

Clinical Effect of Uncover Method by Endoscopic for Nasal Vestibular Cyst

目的研究应用鼻内镜下电动切割器辅助揭盖法手术治疗鼻前庭囊肿的临床效果。方法选择厦门大学附属中山医院2015年1月-2021年1月收治的42例鼻前庭囊肿患者为研究对象,按照不同手术方式分组。研究组运用鼻内镜下电动切割器辅助行揭盖法进行手术,对照组运用传统唇龈沟切口进路行囊肿完整切除手术,对比两组患者的手术损伤指标、术后不适程度和治疗效果等情况。结果研究组的手术时间、手术中出血量以及平均住院时间均低于对照组,两者差异有统计学意义(P<0.05);研究组的术后面部肿胀程度和面部伤口疼痛程度均明显低于对照组,差异有统计学意义(P<0.05)。结论与传统唇龈沟切口进路的完整切除鼻前庭囊肿方法相比,用鼻内镜下电动切割器辅助的揭盖法手术治疗鼻前庭囊肿,对患者创伤更小,术后不适程度更轻,值得临床推广应用。

Objective To study the clinical effect of nasal vestibular cyst by uncover method surgery under nasal endoscope with dynamic system in order to assist the clinical selection of appropriate surgical methods.Methods 42 patients with nasal vestibular cysts in this department from January 2015 to January 2021 were enrolled as study subjects.They were divided into control group and study group.They were operated by surgical removal of the conventional crevicular lip approach(group A),uncover method under nasal endoscope with dynamic system(group B),respectively.The operational time,blood loss,average inpatient day,postoperative facial swelling,postoperative pain score and post-operation follow-up were compared.Results The study showed that the operation time,blood loss and average inpatient day of group B were significantly lower than those of group A(P<0.05).The postoperative facial swelling and postoperative pain score of group B were significantly reduced compared with group A(P<0.05).Conclusion The uncover method for nasal vestibular cyst with nasal endoscopic has many advantages,such as shorter operation time,less blood loss,shorter average inpatient day and less pain.