| 王亚婷,刘春秀,杨美侠.不同手术方式治疗鼻前庭囊肿的临床疗效分析[J].济宁医学院学报,2020,43(2):98-101 |
| 不同手术方式治疗鼻前庭囊肿的临床疗效分析 |
| Clinical research of different operative methods for Nasal Vestibular Cyst |
| 投稿时间：2020-02-09 |
| DOI：10.3969/j.issn.1000-9760.2020.02.006 |
| 中文关键词: 唇龈沟入路;鼻前庭囊肿揭盖术 |
| 英文关键词: Crevicular lip approach;Nasal vestibular cyst uncover method |
| 基金项目:济宁市科技计划项目（济科字[2016]56号-56） |
| 作者 | 单位 | | 王亚婷 | 济宁医学院附属济宁市第一人民医院, 济宁 272011 | | 刘春秀 | 济宁医学院附属济宁市第一人民医院, 济宁 272011 | | 杨美侠 | 济宁医学院附属济宁市第一人民医院, 济宁 272011 |
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| 中文摘要: |
| 目的 比较唇龈沟入路鼻前庭囊肿切除术、鼻内镜下切割动力系统鼻前庭囊肿揭盖术两种手术方式治疗鼻前庭囊肿的临床疗效,协助临床选择合适的手术方式。方法 2016年6月-2017年9月收治的65例鼻前庭囊肿患者,随机分为两组,分别采用唇龈沟入路鼻前庭囊肿切除术(A组,30例)和鼻内镜下切割动力系统鼻前庭囊肿揭盖术(B组,35例)。观察并比较两组间手术时间、出血量、平均住院时间、术后面部肿胀情况、术后局部疼痛评分及临床疗效。结果 B组手术时间、平均住院时间均明显短于A组,且出血量明显少于A组(P<0.05);与A组相比,B组术后面部肿胀情况及局部疼痛程度均明显减轻(P<0.05)。随访24个月,A组有6例复发,B组5例复发,两组疗效比较无统计学意义。结论 两种手术方式均可有效治疗鼻前庭囊肿,鼻内镜下切割动力系统鼻前庭囊肿揭盖术具有手术时间短、出血少、平均住院时间短、痛苦小等优点。 |
| 英文摘要: |
| Objective To compare the advantages and disadvantages of two kinds of surgical methods for nasal vestibular cyst in order to assist the clinical selection of appropriate surgical methods.Methods 65 cases with nasal vestibular cyst in this department were divided into two groups from June 2016 to September 2017. They were operated by surgical removal of the cyst by 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 operational time,blood loss and average inpatient day of group B were significantly lower than those of group B(P<0.05).The postoperative facial swelling and postoperative pain score of group B were significantly reduced compared with group A(P<0.05). Six patients in group A recurred after twenty four months of follow-up compared with five patients in group B.There was not difference among the two groups(P>0.05).Conclusion The two operative methods are effective for the treatment of nasal vestibular cyst,and uncover method for nasal vestibular cyst has many advantages,such as shorter operation time,less blood loss,shorter average inpatient day and less pain. |
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