中国医学前沿杂志（电子版）
中國醫學前沿雜誌（電子版）
중국의학전연잡지（전자판）
CHINESE JOURNAL OF THE FRONTIERS OF MEDICAL SCIENCE(ELECTRONIC VERSION)
2014年
6期
112-115
,共4页
鼻前庭囊肿%外科手术%内窥镜%生活质量
鼻前庭囊腫%外科手術%內窺鏡%生活質量
비전정낭종%외과수술%내규경%생활질량
Nasal vestibular cyst%Surgical technique%Endoscopy%Living quality
目的：观察经鼻内镜改良鼻前庭囊肿切除术的临床效果及患者术后生活质量。方法47例鼻前庭囊肿患者随机分为两组，其中26例接受经唇龈沟切口径路囊肿切除术（传统治疗组），21例接受经鼻内镜改良鼻前庭囊肿切除术（改良治疗组），比较两组手术方式在手术时间、术中出血量、术后填塞时间以及术后疼痛程度、鼻塞程度VAS评分的差别。结果传统治疗组患者手术时间为（34.2±4.6）分钟，术中出血量为（19.8±4.9）ml，术后疼痛程度、鼻塞程度的VAS评分分别为（8.3±0.7）分、（8.9±0.5）分。改良治疗组患者手术时间为（6.4±2.5）分钟，术中出血量为（3.9±2.1）ml，术后疼痛程度、鼻塞程度的VAS评分分别为（0.9±0.2）分、（1.2±0.2）分。各参数在两组间均存在明显的统计学差异（P＜0.05）。传统治疗组患者术后填塞时间为48小时，改良治疗组患者术后填塞时间为0小时，比较差异具有显著性。结论经鼻内镜改良鼻前庭囊肿切除术与传统手术方式比较具有手术简单且微创、术后无需填塞且不良反应少、围术期（术后）患者生活质量明显提高等优点，值得临床推广应用。
目的：觀察經鼻內鏡改良鼻前庭囊腫切除術的臨床效果及患者術後生活質量。方法47例鼻前庭囊腫患者隨機分為兩組，其中26例接受經脣齦溝切口徑路囊腫切除術（傳統治療組），21例接受經鼻內鏡改良鼻前庭囊腫切除術（改良治療組），比較兩組手術方式在手術時間、術中齣血量、術後填塞時間以及術後疼痛程度、鼻塞程度VAS評分的差彆。結果傳統治療組患者手術時間為（34.2±4.6）分鐘，術中齣血量為（19.8±4.9）ml，術後疼痛程度、鼻塞程度的VAS評分分彆為（8.3±0.7）分、（8.9±0.5）分。改良治療組患者手術時間為（6.4±2.5）分鐘，術中齣血量為（3.9±2.1）ml，術後疼痛程度、鼻塞程度的VAS評分分彆為（0.9±0.2）分、（1.2±0.2）分。各參數在兩組間均存在明顯的統計學差異（P＜0.05）。傳統治療組患者術後填塞時間為48小時，改良治療組患者術後填塞時間為0小時，比較差異具有顯著性。結論經鼻內鏡改良鼻前庭囊腫切除術與傳統手術方式比較具有手術簡單且微創、術後無需填塞且不良反應少、圍術期（術後）患者生活質量明顯提高等優點，值得臨床推廣應用。
목적：관찰경비내경개량비전정낭종절제술적림상효과급환자술후생활질량。방법47례비전정낭종환자수궤분위량조，기중26례접수경진간구절구경로낭종절제술（전통치료조），21례접수경비내경개량비전정낭종절제술（개량치료조），비교량조수술방식재수술시간、술중출혈량、술후전새시간이급술후동통정도、비새정도VAS평분적차별。결과전통치료조환자수술시간위（34.2±4.6）분종，술중출혈량위（19.8±4.9）ml，술후동통정도、비새정도적VAS평분분별위（8.3±0.7）분、（8.9±0.5）분。개량치료조환자수술시간위（6.4±2.5）분종，술중출혈량위（3.9±2.1）ml，술후동통정도、비새정도적VAS평분분별위（0.9±0.2）분、（1.2±0.2）분。각삼수재량조간균존재명현적통계학차이（P＜0.05）。전통치료조환자술후전새시간위48소시，개량치료조환자술후전새시간위0소시，비교차이구유현저성。결론경비내경개량비전정낭종절제술여전통수술방식비교구유수술간단차미창、술후무수전새차불량반응소、위술기（술후）환자생활질량명현제고등우점，치득림상추엄응용。
Objective To observe the clinical effect and patients’ postoperative living quality of modiifed intranasal endoscopic excision for nasal vestibular cyst. Method 47 patients diagnosed with nasal vestibular cyst were allocated randomly into two groups according to the surgical technique. In the sublabial approach group (conventional group), 26 patients were excised completely using a sublabial approach, while in the modiifed intranasal endoscopic group (modiifed group), 21 patients underwent an outpatient transnasal excision under the guidance of nasal endoscopes. The operated time, blood loss, postoperative nasal packing time and visual analog scale (VAS) scores of postoperative pain and nasal obstruction were compared. Result The mean duration of surgery was (34.2±4.6) minutes in the conventional group and (6.4±2.5) minutes in the modified group. The mean estimated blood loss was (19.8±4.9) ml and (3.9±2.1) ml in the conventional group and modiifed group, respectively. The mean VAS scores of postoperative pain and nasal obstruction were (8.3±0.7) and (8.9±0.5) in the conventional group and (0.9±0.2) and (1.2±0.2) in the modiifed group. There were statistically signiifcant differences between the two groups in all the studied parameters (P<0.05). The postoperative nasal packing time was 48 hours in the conventional group and 0 hours in the modiifed group, and the difference was also signiifcant. Conclusion Compared with traditional methods, the outpatient transnasal modiifed technique had advantages of simple manipulations, mini invasive, no packing, minimal side-effect and high postoperative living quality. We propose it be the optimal treatment for nasal vestibular cyst.
