三种手术方式治疗鼻前庭囊肿的临床观察  

Clinical observation of three surgical methods for nasal vestibular cyst

作　　者：孙亚萍 徐进敬[1] 吴元庆[1] 王俊[1] 胡京华 SUN Ya-Ping;XU Jin-Jing;WU Yuan-Qing(Department of otolaryngology,Nanjing First Hospital,Nanjing Medical University Affiliated Nanjing Hospital,Nanjing 210006,Jiangsu,China)

机构地区：[1]南京医科大学附属南京医院南京市第一医院耳鼻咽喉科,江苏南京210006

出　　处：《吉林医学》2024年第2期272-276,共5页Jilin Medical Journal

基　　金：南京市卫生科技发展专项资金项目医药卫生科研课题[项目编号:YKK21133]。

摘　　要：目的:探讨唇龈沟径路鼻前庭囊肿切除术、鼻内镜下鼻前庭囊肿揭盖术、鼻内镜下鼻前庭囊肿切除术三种手术方式治疗鼻前庭囊肿(NVC)的临床疗效。方法:回顾性分析南京医科大学附属南京医院耳鼻咽喉科2013年1月~2020年6月手术治疗的64例NVC患者,分为A、B、C组,A组为唇龈沟径路鼻前庭囊肿切除术23例,B组为鼻内镜下鼻前庭囊肿揭盖术22例,C组为鼻内镜下鼻前庭囊肿切除术19例。分析三组术中及术后的康复情况,评估手术治疗的效果。结果:B、C两组在手术时长、术中出血量、切口愈合时间、术后在院时间、术后面部肿胀等情况均优于A组,差异具有统计学意义(P<0.05)。B、C两组术后第1天、第2天、第3天、第5天疼痛视觉模拟评分(VAS)均低于A组;B、C两组比较,B组创口愈合时间短于C组,差异有统计学意义(P<0.05)。结论:与唇龈沟进路鼻前庭囊肿切除术相比,鼻内镜下鼻前庭囊肿揭盖术、鼻内镜下鼻前庭囊肿切除术治疗NVC具有手术时间短、出血少、切口愈合快、术后并发症少等优势。鼻内镜下揭盖术伤口愈合时间优于鼻内镜下切除术,因此,鼻内镜下鼻前庭囊肿揭盖术适合在临床上广泛推广,鼻内镜下切除术可作为传统的唇龈沟进路切除术、鼻内镜下揭盖术复发病例的补充治疗。Objective To investigate the clinical significance of three surgical methods for the treatment of nasal vestibular cyst(NVC).Method Sixty-four cases of nasal vestibular cyst in the otolaryngology department of Nanjing Medical University Affiliated Nanjing Hospital from January 2013 to June 2020 were analyzed retrospectively.Patients were assigned into three groups according to surgical methods:the labial gingival sulcus resection group(group A,23 cases),the nasal endoscopic uncovered group(group B,22 cases)and the nasal endoscopic resection group(group C,19 cases).The surgical indications and clinical effects of three operations were compared among the three groups.Results The surgical time,the surgical blood loss,the wound healing time,the hospital stay time and the facial swelling in groups B and C were better than those in group A,and the difference was statistically significant(P<0.05).The VAS scores of groups B and C were lower than those of group A on the 1st,2nd,3rd,and 5th days after operation.Comparing the two groups B and C,the wound healing time of group B was shorter than that of group C,and the difference was statistically significant(P<0.05).Conclusion Compared with the labial gingival sulcus resection surgery,the nasal endoscopic uncovered surgery and nasal endoscopic resection surgery have the advantages of shorter surgical time,less bleeding,faster incision healing,and lower incidence of adverse reactions.The wound healing time of nasal endoscopic uncovered surgery is better than that of endoscopic resection surgery.Therefore,the author believes that nasal endoscopic uncovered surgery is suitable for widespread clinical promotion,and nasal endoscopic resection surgery can be used as a supplementary treatment for recurrent cases of labial gingival sulcus resection and nasal endoscopic uncovered surgery.

关 键 词：鼻前庭囊肿 鼻内镜下 揭盖术 切除术 

分 类 号：R765[医药卫生—耳鼻咽喉科]