鼻前庭囊肿改良式揭盖法在门诊手术治疗中的应用  

Application of improved excavation method for nasal vestibular cysts in outpatient surgery

作　　者：陈其国[1] 李小虎[1] 汪琼[1] 孙群[1] 李浩[1] 何晶晶 CHEN Qi-guo;LI Xiao-hu;WANG Qiong;SUN Qun;LI Hao;HE Jing-jing(Department of Otolaryngology,Bao＇an District Shiyan People＇s Hospital of Shenzhen,Shenzhen 518108,Guangdong,CHINA)

机构地区：[1]深圳市宝安区石岩人民医院耳鼻咽喉科,广东深圳518108

出　　处：《海南医学》2018年第20期2906-2908,共3页Hainan Medical Journal

基　　金：2018年广东省深圳市宝安区医疗卫生基础研究项目(编号:2018JD225)

摘　　要：目的探讨鼻前庭囊肿改良式揭盖法在门诊手术治疗中的应用效果。方法回顾性分析深圳市宝安区石岩人民医院2012年1月至2016年12月治疗的52例确诊为鼻前庭囊肿患者的临床资料,按治疗方案的不同分为住院治疗组(28例)和门诊改良组(24例),分别行常规鼻内镜下鼻前庭囊肿揭盖术和鼻前庭囊肿改良式揭盖术,比较两组患者的治疗效果、治疗时间、治疗费用及疼痛时间。结果两组患者的手术治愈率均为100%,但治疗组的住院治疗时间为(120±12.36) h,长于门诊改良组的(2.5±1.24) h,治疗费用为(7 450±55.27)元,多于门诊改良组的(955±23.56)元,疼痛时间为(2.55±0.18) d,明显长于门诊改良组的(1.80±0.12) d,差异均有统计学意义(P<0.05)。结论鼻内镜下鼻前庭囊肿改良式揭盖术在门诊手术治疗鼻前庭囊肿,既保证了治疗效果,又可大大节省了治疗费用及治疗时间,减轻了患者的痛苦,尤其适合在基层医院应用。Objective To investigate the application effect of improved excavation method for nasal vestibular cyst in outpatient surgery. Methods A retrospective analysis of clinical data of 52 patients was performed, who were diagnosed with nasal vestibular cyst and treated in the Bao＇an District Shiyan People＇s Hospital of Shenzhen from January2012 to December 2016. According to the different treatment options, the patients were divided into an inpatient treatment group（28 cases） and out-patient improvement group（24 cases）, and were treated with conventional endoscopic dissection method and improved excavation method for nasal vestibular cyst, respectively. The treatment effect, treatment time, treatment cost and pain time of the two groups of patients were compared. Results The surgical recovery rate was100% in both groups. However, the hospitalization time in the inpatient treatment group was（120±12.36） hours, which was longer than（2.5 ± 1.24） hours in the outpatient improvement group; the treatment cost was（7 450 ± 55.27） yuan,which was more than（955±23.56） yuan in the outpatient improvement group; and the pain time was（2.55±0.18） days,which was significantly longer than（1.80±0.12） days in the outpatient improvement group; these differences were all statistically significant（P〈0.05）. Conclusion The improved excavation method for nasal vestibular cysts under nasal endoscopy in outpatient surgery not only ensures the therapeutic effect, but also greatly saves the treatment cost and treatment time, and reduces the pain of the patient. It is especially suitable for application in primary hospitals.

关 键 词：鼻前庭囊肿 揭盖法 改良式 门诊 疗效 

分 类 号：R765.2[医药卫生—耳鼻咽喉科]