鼻前庭囊肿的三种手术方式疗效分析

目的 比较鼻前庭囊肿的三种手术方式的临床治疗效果.方法 回顾分析2012年8月至2018年8月成都市第七人民医院83例鼻前庭囊肿病人,根据手术方式分为唇龈沟摘除组(23例)、鼻内镜揭盖组(31例)和等离子消融组(29例),比较三种手术的手术指征及临床疗效.结果 鼻内镜揭盖组和等离子消融组在手术时间(21.5±2.3)...

Efficacy analysis of three surgical methods for nasal vestibular cyst

Objective To compare the clinical efficacy of three surgical methods for nasal vestibular cyst.Methods Eighty-three cases of nasal vestibular cyst in Chengdu 7th People''s Hospital from August 2012 to August 2018 were analyzed retrospectively. Pa tients were assigned into three groups according to surgical methods: the labial gingival sulcus resection group (23 cases), the nasal endo scopic uncovered group (31 cases) and the plasma ablation group (29 cases). The surgical indications and clinical effects of three opera tions were compared among the three groups.Results The surgical time (21.5±2.3) min, (20.5±2.2) min vs. (45.5±2.6) min], the surgi cal blood loss (13.1±1.3) mL, (12.5±1.4) mL vs. (39.3±2.5) mL], the wound healing time (4.0±0.8) d, (3.1±0.7) d vs. (5.6±0.9) d], the wound pain degree (1.5±0.5), (1.4±0.5) vs. (2.5±1.0)], the numbness and swelling rate 16.1% (5/31), 6.9% (2/29) vs. 47.8% (11/23)] inthe nasal endoscopic uncovered group and the plasma ablation group were better than those in the labial gingival sulcus resection group(P<0.05). Except the wound healing time, there were no statistically significant differences between the nasal endoscopic uncoveredgroup and the plasma ablation group (P>0.05).Conclusions The nasal endoscopic uncovered surgery and ablation surgery of nasal ves tibular cyst have the advantages of shorter surgical time, less pain, milder postoperative reaction, lower incidence of adverse reactions.The cost of the nasal endoscopic uncovered surgery is cheaper and it can be the first choice for treatment of nasal vestibular cyst.