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

Comparison of clinical effect between two endoscopic surgical methods for nasal vestibule cyst

摘要:

目的分析鼻内镜下动力切割器揭盖术与鼻内镜下低温等离子消融切除术在治疗鼻前庭囊肿患者中的临床疗效。方法选择在2010年6月~2015年3月收治的鼻前庭囊肿患者进行抽样，选取44例患者随机分为两组，揭盖组（22例）行鼻内镜下动力切割器鼻前庭囊肿揭盖术，等离子组（22例）于鼻内镜下行低温等离子消融切除术。对比分析两种方法的临床效果。结果等离子组平均手术时间、平均出血量及伤口愈合时间均低于揭盖组，且术后疼痛程度、面部肿胀程度均优于揭盖组，差异具有显著统计学意义（P<0.05）。结论鼻内镜下低温等离子消融切除治疗鼻前庭囊肿相比鼻内镜下动力切割器鼻前庭囊肿揭盖术而言，临床疗效确切，安全指数高，临床上应引起关注，值得临床推广。

关键词:鼻前庭囊肿|鼻内镜|低温等离子|揭盖术

Abstract:

ObjectiveTo compare the clinical effect for nasal vestibule cyst between endoscopic surgery with power cutter system and lowtemperature plasma ablation.Methods44 patients suffering from nasal vestibular cyst hospitalized in our department during June 2010 to March 2015 were randomly divided into two groups with equal number. The patients in one group received endoscopic surgery with power cutter system (uncovery group), and lowtemperature plasma ablation was applied to those in the other group (plasma group). The clinical effect between the two groups was compared.ResultsCompared with the uncovery group, the mean operation time, average volume of bleeding and wound healing time of the plasma group were lower with less postoperative pain and facial swelling. The differences were all statistically significant (all P<0.05).ConclusionWith advantages of good clinical effect and high safety, endoscopic resection of nasal vestibular cyst with lowtemperature plasma is worthwhile for promotion.

Key words:Nasal vestibular cyst|Nasal endoscope|Lowtemperature plasma| Marsupialization