经鼻内镜鼻前庭囊肿去顶+低温等离子囊壁消隔术治疗鼻前庭囊肿42例临床观察

doi:10.6040/j.issn.1673-3770.0.2018.020

摘要/Abstract

摘要： 目的研究经鼻内镜鼻前庭囊肿去顶+低温等离子囊壁消隔术治疗鼻前庭囊肿的临床效果。方法选择84例鼻前庭囊肿患者,按随机数字表法分为A组与B组,各42例。A组采取内镜监视下低温等离子术,B组采取传统齿龈沟径路行囊肿切除。比较两组手术时间,术中出血量,伤口愈合时间,术后12、24、48 h时的疼痛VAS评分,术后1个月内并发症总发生率,随访期间并发症与复发情况。结果 A组手术时间、手术出血量与伤口愈合时间分别为(21.02±5.98)min、(13.55±4.01)mL、(3.52±1.02)d,B组分别为(38.96±8.24)min、(51.88±9.30)mL、(5.97±2.16)d,两组比较,差异有统计学意义(P均<0.05)。A组术后12、24、48 h疼痛VAS评分均低于B组(P均<0.05)。A组近期并发症总发生率为4.76%,低于B组的19.05%(P<0.05)。两组术后随访期间并发症总发生率分别为2.38%和7.14%,复发率分别为0和4.76%,两组比较,差异无统计学意义(P均>0.05)。结论经鼻内镜鼻前庭囊肿去顶+低温等离子囊壁消隔术具有鼻内镜及低温等离子的双重优势,操作简单、术后疼痛轻、并发症少,效果优于经齿龈沟径路囊肿切除。

关键词: 内镜, 鼻前庭囊肿, 低温等离子术, 经齿龈沟径路囊肿切除

Abstract: Objective To study the clinical efficacy of nasal endoscopic vestibule cyst removal with hypothermic plasma for treatment of nasal vestibular cysts while excluding the septal wall. Methods A total of 84 patients with nasal vestibular cysts were selected and randomly divided into group A and group B according to the random number table method, resulting in two groups with 42 patients each. The patients in group A were subjected to low-temperature-controlled plasma radio frequency ablation by nasal endoscopy. The patients in group B underwent traditional gingival sulcus cyst removal. We compared surgery duration, intraoperative bleeding, wound healing time, the VAS scores of pain at 12 h, 24 h, and 48 h after surgery; the total incidence of complications within one month after surgery; and the complications and recurrence during follow-up between the two groups. Results Surgery duration, intraoperative bleeding, and wound healing time in group A were 21.02±5.98 min, 13.55±4.01 mL, and 3.52±1.02 days, respectively. All values were significantly lower than in group B(surgery duration: 38.96±8.24 min; intraoperative bleeding: 51.88±9.30 mL; and wound healing time: 5.97±2.16 days; P<0.05). Additionally, the VAS scores of pain in group A at 12 h, 24 h, and 48 h after operation were significantly lower than those in group B(P<0.05). The recent complication rate in group A patients was 4.76%, which was significantly lower than the 19.05% complication rate in group B patients(P<0.05). The overall incidence of complications during follow-up was 2.38% and 7.14% in group A and B, respectively. The recurrence rates were 0 and 4.76% in group A and B, respectively. These differences were not significant. Conclusion Low-temperature-controlled plasma radio frequency ablation via nasal endoscopy combines multiple advantages of endoscopy and cryogenic plasma, i.e. simpler surgery, less postoperative pain, and fewer complications in comparison to cyst removal via the gingival sulcus.

Key words: Nasal vestibular cyst, Low-temperature plasma surgery, Resection of the gingival sulcus cyst, Endoscopy

中图分类号:

R765

田增华. 经鼻内镜鼻前庭囊肿去顶+低温等离子囊壁消隔术治疗鼻前庭囊肿42例临床观察[J]. 山东大学耳鼻喉眼学报, 2018, 32(5): 86-89.

TIAN Zenghua. Clinical study of endoscopic nasal vestibular cyst unroofing and low-temperature plasma for the treatment of nasal vestibular cysts while excluding the septal wall[J]. J Otolaryngol Ophthalmol Shandong Univ, 2018, 32(5): 86-89.

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