鼻内镜鼻前庭囊肿揭盖术治疗鼻前庭囊肿的临床疗效
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摘要
目的探讨鼻内镜鼻前庭囊肿揭盖术治疗鼻前庭囊肿的临床疗效。方法选择2014年8月-2017年8月我院收治的60例鼻前庭囊肿患者为研究对象,根据手术方式不同分为两组,每组各30例。对照组采用传统唇龈沟径路鼻前庭囊肿切除术进行治疗,观察组采用鼻内镜鼻前庭囊肿揭盖术治疗;评价两组手术情况、术后疼痛程度及并发症发生情况,术后随访1年,观察两组患者的复发情况。结果对照组手术时间、术中出血量、术后住院时间分别为(44.78±8.13) min、(37.09±7.11) mL、(7.27±1.45) d均高于观察组的(17.91±4.26) min、(8.85±3.12) mL、(5.02±1.06) d,差异有统计学意义(P<0.05);对照组术后24 h、48 h、72 h的VAS评分分别为(3.53±1.07)分、(2.84±1.12)分、(2.34±0.69)分均高于观察组的(2.92±1.14)分、(2.21±1.00)分、(1.73±0.76)分,差异有统计学意义(P<0.05);对照组术后并发症发生率为26.67%,复发率为20.00%,高于观察组的6.67%、0.00%,差异有统计学意义(P<0.05)。结论鼻内镜鼻前庭囊肿揭盖术治疗鼻前庭囊肿疗效显著,具有手术时间短、出血量少的优点,可减轻患者术后疼痛,减少术后并发症的发生,利于加速患者恢复,预后较好。
Objective To investigate the clinical efficacy of nasal endoscopic nasal vestibular cyst uncovering for nasal vestibular cyst.MethodsSixty patients with nasal vestibular cysts admitted to our hospital from August 2014 to August2017 were enrolled in the study.They were divided into two groups according to different surgical methods,30 in each group.The control group was treated with traditional sacral sulcus cystectomy.The observation group was treated with nasal endoscopic nasal vestibular cyst uncovering for nasal vestibular cyst.The operation status,postoperative pain degree and complications were evaluated.After one year,the recurrence of the two groups of patients was observed.ResultsThe operation time,intraoperative blood loss and postoperative hospital stay were(44.78±8.13) min,(37.09±7.11) mL,and(7.27±1.45) d,respectively,which were higher than the observation group(17.91±4.26) min.(8.85±3.12) mL,(5.02±1.06) d,the differences were statistically significant(P<0.05);the VAS scores of the control group at 24 h,48 h,72 h were(3.53±1.07) points,(2.84±1.12).The scores of(2.34±0.69) were higher than those of the observation group(2.92±1.14),(2.21±1.00),and(1.73±0.76),the differences were statistically significant(P<0.05).The postoperative complication rate was 26.67%,and the recurrence rate was 20.00%,which was higher than that of the observation group(6.67%,0.00%).The differences were statistically significant(P<0.05).ConclusionEndoscopic nasal vestibular cyst is a significant treatment for nasal vestibular cyst.It has the advantages of short operation time and less bleeding.It may reduce postoperative pain,reduce postoperative complications,and accelerate the recovery of patients.It is good at prognosis.
Objective To investigate the clinical efficacy of nasal endoscopic nasal vestibular cyst uncovering for nasal vestibular cyst.MethodsSixty patients with nasal vestibular cysts admitted to our hospital from August 2014 to August2017 were enrolled in the study.They were divided into two groups according to different surgical methods,30 in each group.The control group was treated with traditional sacral sulcus cystectomy.The observation group was treated with nasal endoscopic nasal vestibular cyst uncovering for nasal vestibular cyst.The operation status,postoperative pain degree and complications were evaluated.After one year,the recurrence of the two groups of patients was observed.ResultsThe operation time,intraoperative blood loss and postoperative hospital stay were(44.78±8.13) min,(37.09±7.11) mL,and(7.27±1.45) d,respectively,which were higher than the observation group(17.91±4.26) min.(8.85±3.12) mL,(5.02±1.06) d,the differences were statistically significant(P<0.05);the VAS scores of the control group at 24 h,48 h,72 h were(3.53±1.07) points,(2.84±1.12).The scores of(2.34±0.69) were higher than those of the observation group(2.92±1.14),(2.21±1.00),and(1.73±0.76),the differences were statistically significant(P<0.05).The postoperative complication rate was 26.67%,and the recurrence rate was 20.00%,which was higher than that of the observation group(6.67%,0.00%).The differences were statistically significant(P<0.05).ConclusionEndoscopic nasal vestibular cyst is a significant treatment for nasal vestibular cyst.It has the advantages of short operation time and less bleeding.It may reduce postoperative pain,reduce postoperative complications,and accelerate the recovery of patients.It is good at prognosis.
引文
[1]郝凯飞,闫朝晖,陶树东.内镜下经鼻行鼻前庭囊肿完整剥除术的疗效观察[J].中华耳鼻咽喉头颈外科杂志,2017,52(5):361-364.
[2]蔡雪倩,方平.牙源性鼻面颊部病变的临床特点[J].中国中西医结合耳鼻咽喉科杂志,2015,23(1):43-45.
[3]刘津,冯云,覃继新,等.鼻内镜下低温等离子技术在鼻前庭囊肿治疗中的应用[J].中国内镜杂志,2017,23(5):53-56.
[4]冀庆军,单亚萍,李大鹏,等.鼻内镜下两种手术方案在治疗鼻前庭囊肿中的临床疗效对比[J].中国耳鼻咽喉颅底外科杂志,2016,22(6):487-490.
[5]慕继霞,职良喜,赵勇.鼻内镜下揭盖法治疗鼻前庭囊肿临床分析[J].中国耳鼻咽喉颅底外科杂志,2015,21(3):254-255.(下转第48页)
[6]钱建娥.鼻内镜下低温等离子刀射频消融术与唇龈沟径路囊肿切除术治疗鼻前庭囊肿的疗效比较[J].中国临床医学,2015,22(4):547-549.
[7]郭斌,张英.鼻内镜下低温等离子射频消融与传统方式切除鼻前庭囊肿的临床疗效观察[J].中国内镜杂志,2017,23(5):53-56.
[8]覃焕桦,林琳,陈子松,等.鼻内镜下低温等离子射频消融术与囊肿揭盖术治疗鼻前庭囊肿的临床分析[J].河北医药,2017,39(8):1231-1233.
[9]赵艾君,谢鹏,李志伟,等.鼻前庭囊肿揭盖术与传统唇龈沟径路鼻前庭囊肿切除术治疗鼻前庭囊肿的疗效对比[J].广西医科大学学报,2016,33(5):880-882.
[10]高峰,顾平,钟志生,等.鼻内镜下鼻前庭囊肿揭盖术临床分析[J].中国耳鼻咽喉头颈外科,2017,24(10):549-550.
[2]蔡雪倩,方平.牙源性鼻面颊部病变的临床特点[J].中国中西医结合耳鼻咽喉科杂志,2015,23(1):43-45.
[3]刘津,冯云,覃继新,等.鼻内镜下低温等离子技术在鼻前庭囊肿治疗中的应用[J].中国内镜杂志,2017,23(5):53-56.
[4]冀庆军,单亚萍,李大鹏,等.鼻内镜下两种手术方案在治疗鼻前庭囊肿中的临床疗效对比[J].中国耳鼻咽喉颅底外科杂志,2016,22(6):487-490.
[5]慕继霞,职良喜,赵勇.鼻内镜下揭盖法治疗鼻前庭囊肿临床分析[J].中国耳鼻咽喉颅底外科杂志,2015,21(3):254-255.(下转第48页)
[6]钱建娥.鼻内镜下低温等离子刀射频消融术与唇龈沟径路囊肿切除术治疗鼻前庭囊肿的疗效比较[J].中国临床医学,2015,22(4):547-549.
[7]郭斌,张英.鼻内镜下低温等离子射频消融与传统方式切除鼻前庭囊肿的临床疗效观察[J].中国内镜杂志,2017,23(5):53-56.
[8]覃焕桦,林琳,陈子松,等.鼻内镜下低温等离子射频消融术与囊肿揭盖术治疗鼻前庭囊肿的临床分析[J].河北医药,2017,39(8):1231-1233.
[9]赵艾君,谢鹏,李志伟,等.鼻前庭囊肿揭盖术与传统唇龈沟径路鼻前庭囊肿切除术治疗鼻前庭囊肿的疗效对比[J].广西医科大学学报,2016,33(5):880-882.
[10]高峰,顾平,钟志生,等.鼻内镜下鼻前庭囊肿揭盖术临床分析[J].中国耳鼻咽喉头颈外科,2017,24(10):549-550.