改良揭盖法治疗鼻前庭囊肿的应用研究  

Research of modified uncovered Method for Treatment of nasal Vestibular Cyst

作　　者：林浩然 杨田福 杨丽[1] 李锐锋 袁先平 梁华锋 LIN Haoran;YANG Tianfu;YAMG Li;LI Ruifeng;YUAN Xianping;LIANG Huafeng(Department of Otolaryngology,Shunde Hospital,Foshan Guangdong 528305,China)

机构地区：[1]广东省佛山市顺德区暨南大学附属顺德医院耳鼻喉科,广东佛山528305

出　　处：《临床研究》2020年第8期36-38,共3页Clinical Research

摘　　要：目的探讨改良揭盖法较传统方法治疗鼻前庭囊肿应用的优越性。方法回顾性研究2010年1月-2018年10月广东省佛山市顺德区暨南大学附属顺德医院收治的22例鼻前庭囊肿患者临床资料,按不同治疗方式分为两组:观察组11例行鼻内镜下改良揭盖法治疗,对照组11例行传统的唇龈沟入路治疗。比较两种治疗方式手术时间、术中出血量、术后并发症(面部、上唇部肿胀、麻木疼痛,切口出血、创面感染、术后疼痛等)、平均住院时间和平均费用、切口愈合、术后复发等方面的差别。结果观察组手术时间、术中出血和填塞情况均优于对照组(P<0.05)。观察组在切口出血、填塞与否、术后面部及上唇麻木、术后疼痛发生情况明显少于对照组(P<0.05)。观察组平均住院时间、平均费用明显少于对照组,差异显著有统计学意义(P<0.05)。术后随访2年,观察组和对照组术后复发分别是0例、1例,差异显著有统计学意义(P<0.05)。结论鼻内镜下改良揭盖法治疗鼻前庭囊肿较传统方法具有手术时间短、微创、操作简单、副作用小、平均住院时间短、平均费用低、复发率低等优越性,值得临床应用。Objective To explore the superiority of modified uncovered method in the treatment of nasal vestibular cyst.Methods From January 2010 to October 2018,clinical data of 22 patients with nasal vestibular cyst admitted to Shunde hospital affiliated to Jinan university,Foshan city,Guangdong province,were retrospectively studied,the patients were divided into two groups:11 patients in the observation group were treated with modified uncovered method under nasal endoscope,and 11 patients in the control group were treated with traditional labial and gingival sulcus approach.The differences of operation time,blood loss during operation,postoperative complications(facial and upper lip swelling,numbness and pain,wound bleeding,wound infection,postoperative pain,etc.),average hospital stay and average cost,wound healing and postoperative recurrence were compared.Results The operation time,bleeding and packing in the observation group were better than those in the control group(P<0.05).In the observation group,bleeding,packing or not,postoperative facial and upper lip numbness,postoperative pain was significantly less than the control group(P<0.05).The average hospitalization time and cost of the observation group were significantly less than those of the control group(P<0.05).After 2 years follow-up,the recurrence rate in the observation group and the Control Group was 0 and 1 respectively,the difference was statistically significant(P<0.05).Conclusion The modified nasal endoscopic method for nasal vestibular cyst has the advantages of shorter operation time,less trauma,less side effect,shorter average hospitalization time,lower average cost and lower recurrence rate,etc.it is worthy of clinical application.

关 键 词：鼻前庭囊肿 鼻内镜 唇龈沟 揭盖术 

分 类 号：R762[医药卫生—耳鼻咽喉科]