CAJ | 학술논문

目的：观察鼻内镜下低温等离子射频消融治疗鼻前庭囊肿的疗效。方法28例鼻前庭囊肿患者，于鼻内镜下经鼻前庭径路采用低温等离子射频消融治疗。如囊肿范围不超出鼻前庭，则开放囊腔保留囊肿底壁；如囊肿范围超出鼻前庭，则彻底去除囊壁上皮以消除囊腔。结果全部患者术后随访6～12个月，囊肿均无复发，无明显鼻前庭瘢痕及前鼻孔狭窄等后遗症。结论鼻内镜下低温等离子射频消融治疗鼻前庭囊肿具有创伤小、操作简单、疗效好、适应症广等优点，具有临床推广应用价值。
목적：관찰비내경하저온등리자사빈소융치료비전정낭종적료효。방법28례비전정낭종환자，우비내경하경비전정경로채용저온등리자사빈소융치료。여낭종범위불초출비전정，칙개방낭강보류낭종저벽；여낭종범위초출비전정，칙철저거제낭벽상피이소제낭강。결과전부환자술후수방6～12개월，낭종균무복발，무명현비전정반흔급전비공협착등후유증。결론비내경하저온등리자사빈소융치료비전정낭종구유창상소、조작간단、료효호、괄응증엄등우점，구유림상추엄응용개치。
Objective To evaluate the therapeutic effect of low temperature plasma radiofrequency ablation operation on nasal vestibular cyst under nasal endoscope.Methods Included in this study were 28 patients with nasal vestibular cyst treated in our Hospital by low temperature plasma radiofrequency ablation operation performed under nasal endoscope. If the extend of cyst was not beyond to nasal vestibule, it was operated on only by opening the top wall of cyst capsule but with its bottom wall remained in situ. Once its range was beyond nasal vestibule, the whole cystic capsule should be removed completely to eliminate the cyst.Results All these patients were found without their lesion reoccurred by the end of following up period lasted for 6~12 months after operation. There were no obvious sequelae occurred following the surgery such as significant scar tissue formation in nasal vestibule and narrowing in anterior naris.Conclusions The operation of low temperature plasma radiofrequency ablation performed under nasal endoscope holds such advantages as simple manipulations, minimal invasive, higher efficiency and wide indications for the treatment of nasal vestibular cyst. Therefore, it is valuable to make it used in a wider range of clinical practice.