不同手术方案在鼻前庭囊肿患者中的应用效果对比

目的：探讨不同手术方案在鼻前庭囊肿患者中的应用效果，为选择最佳治疗手段提供确切依据。方法将该院2008年3月—2013年12月收治的120例鼻前庭囊肿患者随机分为三组，每组各40例，分别采用唇龈沟路径鼻前庭囊肿切除术（唇龈沟组）、鼻内镜下鼻前庭囊肿切除术（内镜切除组）和鼻内镜下鼻前庭囊肿揭盖术（内镜揭盖组）三种手段进行治疗。比较三种治疗方法手术时间、出血量、术后面部麻木肿胀情况、引流管放置时间、住院时间、术后感染及术后6个月内复发情况。结果内镜切除组手术时间最短，内镜揭盖组其次，唇龈沟组最长，三组差异具有统计学意义（P ＜0．05）；手术出血量内镜切除组和揭盖组明显少于唇龈沟组（P ＜0．05）；引流管放置时间和住院时间均为内镜揭盖组最短，内镜切除组其次，唇龈沟组最长，三组差异具有统计学意义（P ＜0．05）；内镜揭盖组术后并发面部麻木、感染且半年内复发比例明显低于其他两组，差异具有统计学意义（P ＜0．05）。结论鼻内镜下鼻前庭囊肿切除术与鼻内镜下鼻前庭囊肿揭盖术相比唇龈沟路径鼻前庭囊肿切除术操作更加方便且损伤较小，其中鼻内镜下鼻前庭囊肿揭盖术不良反应及复发比率最低，值得临床推广。

Application results comparing different surgical options in patients with nasal vestibule cyst

Objective To investigate the effects of different surgical options on the nasal vestibule cysts for finding the best treatment. Methods The 120 patients of nasal vestibule cysts treated at The Third People's Hospital in Zigong of Sichuan province from March 2008 to December 2013 were randomized into three groups with 40 in each group.The labial sulcus group was given lip sulcus path na-sal vestibule cystectomy,the endoscopic resection group was given endoscopic cyst resection and the endoscopic marsupialization group was given vestibular cyst marsupialization endoscopic surgery.The operative time,amount of bleeding,postoperative facial numbness and swelling,time of drainage tube placement,hospital stay,postoperative infection,and relapse within 6 months were compared a-mong three groups.Results The operative time of the endoscopic resection group was the shortest,followed by that of the endoscopic marsupialization group and that of labial sulcus group .The differences among the three groups were statistically significant (P <0.05).The amounts of bleeding of endoscopic surgical resection group and endoscopic marsupialization group were shorter than that of labial sulcus group (P <0.05).The time of drainage tube placement and hospital stay of endoscopic marsupialization group were the shortest,followed by those of endoscopic resection group and labial sulcus group,with a statistically significant difference among the three groups (P <0.05).The postoperative facial numbness,infection and relapse within six months of endoscopic marsupialization group was significantly lower than those of the other two groups,with statistically significant difference (P <0.05).Conclusions The endoscopic cyst resection and vestibular cyst marsupialization endoscopic surgery were more convenient and have less damage,and the adverse reactions and relapse rate of endoscopic cyst marsupialization is the lowest,therefore,such surgical option is worthy of promo-tion.