经鼻内镜改良鼻前庭囊肿切除术及患者术后生活质量评估  

Modified intranasal endoscopic excision for nasal vestibular cyst and living quality of postoperative patients

作　　者：黎雄文[1] 李嘉[1] 张鹏坚[1] 

机构地区：[1]梅州市人民医院耳鼻咽喉2科,广东梅州514089

出　　处：《中国医学前沿杂志（电子版）》2014年第6期112-115,共4页Chinese Journal of the Frontiers of Medical Science(Electronic Version)

摘　　要：目的观察经鼻内镜改良鼻前庭囊肿切除术的临床效果及患者术后生活质量。方法 47例鼻前庭囊肿患者随机分为两组,其中26例接受经唇龈沟切口径路囊肿切除术(传统治疗组),21例接受经鼻内镜改良鼻前庭囊肿切除术(改良治疗组),比较两组手术方式在手术时间、术中出血量、术后填塞时间以及术后疼痛程度、鼻塞程度VAS评分的差别。结果传统治疗组患者手术时间为(34.2±4.6)分钟,术中出血量为(19.8±4.9)ml,术后疼痛程度、鼻塞程度的VAS评分分别为(8.3±0.7)分、(8.9±0.5)分。改良治疗组患者手术时间为(6.4±2.5)分钟,术中出血量为(3.9±2.1)ml,术后疼痛程度、鼻塞程度的VAS评分分别为(0.9±0.2)分、(1.2±0.2)分。各参数在两组间均存在明显的统计学差异(P<0.05)。传统治疗组患者术后填塞时间为48小时,改良治疗组患者术后填塞时间为0小时,比较差异具有显著性。结论经鼻内镜改良鼻前庭囊肿切除术与传统手术方式比较具有手术简单且微创、术后无需填塞且不良反应少、围术期(术后)患者生活质量明显提高等优点,值得临床推广应用。Objective To observe the clinical effect and patients’ postoperative living quality of modiifed intranasal endoscopic excision for nasal vestibular cyst. Method 47 patients diagnosed with nasal vestibular cyst were allocated randomly into two groups according to the surgical technique. In the sublabial approach group （conventional group）, 26 patients were excised completely using a sublabial approach, while in the modiifed intranasal endoscopic group （modiifed group）, 21 patients underwent an outpatient transnasal excision under the guidance of nasal endoscopes. The operated time, blood loss, postoperative nasal packing time and visual analog scale （VAS） scores of postoperative pain and nasal obstruction were compared. Result The mean duration of surgery was （34.2±4.6） minutes in the conventional group and （6.4±2.5） minutes in the modified group. The mean estimated blood loss was （19.8±4.9） ml and （3.9±2.1） ml in the conventional group and modiifed group, respectively. The mean VAS scores of postoperative pain and nasal obstruction were （8.3±0.7） and （8.9±0.5） in the conventional group and （0.9±0.2） and （1.2±0.2） in the modiifed group. There were statistically signiifcant differences between the two groups in all the studied parameters （P〈0.05）. The postoperative nasal packing time was 48 hours in the conventional group and 0 hours in the modiifed group, and the difference was also signiifcant. Conclusion Compared with traditional methods, the outpatient transnasal modiifed technique had advantages of simple manipulations, mini invasive, no packing, minimal side-effect and high postoperative living quality. We propose it be the optimal treatment for nasal vestibular cyst.

关 键 词：鼻前庭囊肿 外科手术 内窥镜 生活质量 

分 类 号：R765.9[医药卫生—耳鼻咽喉科]